An unusual case of coronary artery fistula successfully treated by transcatheter approach
Garima Biyani1, Abhay Pota2, Amit Misri1
1Department of Pediatric Cardiology, Medanta The Medicity, Gurugram, Haryana 122001, India.
Insights
Rare congenital coronary artery fistulas, though common abnormalities, are increasingly detected with advanced imaging. This case highlights an unusual instance of two distinct coronary artery fistulas originating from both coronary systems and draining into a single site.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Coronary artery fistulas (CAFs) are uncommon congenital abnormalities of the heart.
- Traditionally diagnosed via coronary angiography, incidental detection is frequent.
- Advancements in cardiac imaging are improving detection rates.
Abstract:
Coronary artery fistulas are rare, but one of the most common forms of congenital coronary abnormalities. These patients are often diagnosed incidentally undergoing coronary angiography, but with the advent of novel cardiac imaging tools, there is an increasing rate of detection as well as transcatheter management of these fistulas. Our case is unusual in a way that it involved a combination of two separate coronary artery fistulas arising from both the coronary systems draining into the same site.
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