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Transcatheter Occlusion of Coronary-Pulmonary Fistula With a Liquid Embolic Agent After Evaluation by FFR
Mehdi Saighi Bouaouina1,2, Matthieu Perier1,2, Kamel Kechabtia1
1Department of Interventional Cardiology, European Hospital of Paris La Roseraie, Aubervilliers, France.
Insights
A patient with stable angina underwent successful percutaneous embolization for a coronary-pulmonary fistula. This minimally invasive procedure effectively closed the abnormal connection, resolving symptoms.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Coronary-pulmonary fistulas are rare congenital or acquired abnormalities.
- Stable angina necessitates investigation into potential underlying cardiac or vascular causes.
Observation:
- A 58-year-old male presented with stable angina.
- Coronary angiography identified a coronary-pulmonary fistula without significant atheroma.
Findings:
- Percutaneous embolization was chosen due to symptomatic presentation and hemodynamic assessment.
- Successful embolization using a liquid embolic agent resulted in complete cessation of fistula flow.
Implications:
- Percutaneous embolization is an effective treatment for symptomatic coronary-pulmonary fistulas.
- This approach offers a minimally invasive alternative to surgical intervention.
- Management should consider patient symptoms and hemodynamic status.
Abstract:
A 58-year-old man was admitted for stable angina. The coronary angiogram revealed a coronary-pulmonary fistula with a nonsignificant atheroma. We decided to perform percutaneous embolization of the fistula in view of the symptoms and the hemodynamic assessment findings. Embolization was performed using a liquid embolic agent with no residual flow. (Level of Difficulty: Intermediate.).
