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Percutaneous Coil Embolization of Confluent Bilateral Coronary Artery Fistulas

Shuji Kubota1, Hisao Hara1, Masaya Yamamoto1

  • 1Department of Cardiology, National Center for Global Health and Medicine, Tokyo, Japan.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

A woman

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Coronary artery fistulas are abnormal connections between a coronary artery and a heart chamber or major vessel.
  • These fistulas can lead to complications such as heart murmurs, aneurysms, and heart failure.

Observation:

  • A 52-year-old woman presented with a continuous heart murmur detected during a routine health examination.
  • Coronary computed tomography angiography revealed extensive coronary artery fistulas forming a large aneurysm that connected to the pulmonary artery.

Findings:

  • Percutaneous coil embolization successfully treated the complex coronary artery fistula and associated aneurysm.
  • The procedure resulted in the complete resolution of the fistulas and aneurysms, as confirmed by imaging.

Implications:

  • Percutaneous coil embolization is an effective minimally invasive treatment for complex coronary artery fistulas with aneurysms.
  • This case highlights the importance of diagnostic imaging in identifying and managing rare cardiovascular anomalies.
  • Successful treatment can prevent serious complications and improve patient outcomes.

Keywords:
CAF, coronary artery fistulaCAG, coronary angiographyCTA, computed tomography angiographyECG, electrocardiographyPA, pulmonary arteryQp/Qs, ratio of pulmonary blood flow to systemic blood flowRCA, right coronary arteryRHC, right-sided heart catheterizationRV, right ventriclecoronary vessel anomalyimagingpercutaneous coronary interventiontreatment

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