A Bleeding Heart: Coronary-Cameral Fistula After Septal Myomectomy

Daniel Walters1, Ryan Reeves, Lawrence Ang

  • 1UC San Diego Health System, Sulpizio Cardiovascular Center, 9434 Medical Center Drive, La Jolla, CA 92037 USA. dcwalters@ad.ucsd.edu.

Insights

Coronary-cameral fistulas are rare heart vessel abnormalities. This case shows one after septal myomectomy, a common complication that usually resolves on its own.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Vascular Medicine

Background:

  • Coronary-cameral fistulas (CCFs) are uncommon abnormal connections between coronary arteries and heart chambers.
  • While often congenital, acquired CCFs can occur post-cardiac procedures.
  • Septal myectomy, a surgery for hypertrophic cardiomyopathy, carries a risk of iatrogenic CCF formation.