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Published on: December 23, 2022
[Percutaneous closure of a coronary-pulmonary fistula : a case report]
Zakariae Laraichi1, Amani Farah2, Armand Aymard1
1Service de Cardiologie Interventionnelle, Hôpital Européen de Paris La Roseraie, Aubervilliers, France.
Insights
A coronary artery fistula, an abnormal vessel connection, can cause symptoms later in life. Transcutaneous closure offers an effective, minimally invasive treatment for this condition.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Coronary artery fistulas (CAFs) are abnormal connections between coronary arteries and cardiac chambers or great vessels.
- Often asymptomatic in early life, CAFs can manifest clinically over time.
Background:
A coronary artery fistula is an abnormal connection between one or more coronary arteries and a cardiac chamber or great vessel, often discovered incidentally through cardiac imaging. Although coronary artery fistulas are typically asymptomatic during the first two decades of life, particularly when small, they can become clinically significant over time.
Case Presentation:
We present the case of a 71-year-old female patient with a history of exertional dyspnea. Diagnostic coronary angiography revealed a significant coronary artery fistula originating from the proximal right coronary artery and draining into the pulmonary artery trunk. Given the patient's symptoms and the anatomical features of the fistula, she was successfully treated with transcutaneous closure using a liquid embolic agent (Onyx).
Conclusion:
Although surgical intervention has historically been the primary treatment for CAF, minimally invasive techniques such as transcutaneous closure are proving to be effective alternatives.
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