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Successful transcatheter closure of bilateral multiple coronary arterial fistulae in one session
Ahmet Bacaksiz1, Parviz Jafarov1, Ziya Ismailoglu1
1Department of Cardiology, Faculty of Medicine, Bezmiâlem Foundation University, Istanbul, Turkey.
Insights
Multiple bilateral coronary artery fistulae, a rare congenital anomaly, can be effectively treated. This case demonstrates successful transcatheter coil closure for complex coronary artery fistulae, offering a safe alternative to surgery.
Area of Science:
- Cardiology
- Interventional Cardiology
- Congenital Heart Disease
Background:
- Coronary artery fistulae are the most common congenital coronary anomalies.
- Multiple bilateral fistulae are exceptionally rare.
- Symptomatic patients typically require intervention via percutaneous closure or cardiac surgery.
Purpose of the Study:
- To report a successful transcatheter closure of rare, multiple, bilateral congenital coronary artery fistulae.
- To highlight transcatheter coil embolization as a viable treatment option.
Main Methods:
- Diagnosis of congenital coronary artery fistulae.
- Transcatheter coil embolization procedure.
- Assessment of procedural success and patient outcome.
Main Results:
- Successful closure of coronary artery fistulae originating from both left and right coronary arteries.
- Fistulae were individually embolized using coils.
- The patient was treated successfully with a transcatheter approach.
Conclusions:
- Transcatheter coil closure is an effective and safe treatment for symptomatic congenital coronary artery fistulae.
- This approach provides a less invasive alternative to cardiac surgery for complex cases.
Abstract:
Coronary artery fistulae represent the most frequent congenital anomalies of the coronary arteries, but multiple bilateral fistulae are a rare condition. Current therapeutic options for symptomatic patients are percutaneous closure and cardiac surgery. Transcatheter closure of fistulae using coils is preferred as an effective and safe alternative to surgery. Here we report the case of a patient with congenital coronary artery fistulae arising from both the left and right coronary arteries draining individually into the right pulmonary artery treated successfully with a transcatheter approach.
