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Coil Embolization of a Left Anterior Descending Coronary Artery-Pulmonary Artery Fistula: A Case Report

Shudipan Chakraborty1, Kritika Luthra1, Jay Shah2

  • 1Internal Medicine, Mercy Health - St. Vincent Medical Center, Toledo, USA.

Cureus
|January 16, 2024
PubMed

Insights

Coronary artery fistulas are abnormal connections to the heart or pulmonary artery. A case of a left anterior descending-pulmonary artery fistula was successfully treated using coil embolization.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Coronary artery fistulas (CAFs) are rare vascular malformations connecting the coronary arteries to the heart chambers or great vessels.
  • While often asymptomatic, CAFs can lead to significant complications such as heart failure, myocardial infarction, or rupture.

Observation:

  • A 66-year-old male presented with a diagnosed left anterior descending-pulmonary artery fistula.
  • The fistula, though uncommon, was identified as the source of potential cardiovascular complications.

Findings:

  • The patient's left anterior descending-pulmonary artery fistula was successfully managed using endovascular coil embolization.
  • This minimally invasive technique effectively occluded the abnormal connection, preventing further complications.

Implications:

  • Coil embolization represents a safe and effective treatment option for coronary artery fistulas.
  • Prompt diagnosis and intervention are crucial for managing patients with symptomatic coronary artery fistulas to prevent adverse cardiac events.

Keywords:
anginachronic stable anginacoronary arterycoronary artery fistula aneurysmcoronary to pulmonary artery fistulatransarterial coil embolization

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