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Management of Medium to Giant Coronary Artery Fistulas

Elizabeth Ghandakly1, Nicholas Szugye2, Mohamed Kanj3

  • 1Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.

JACC. Case Reports
|December 3, 2025
PubMed

Insights

Coronary artery fistulas are rare but can cause symptoms. Management strategies, including transcatheter and surgical options, should be tailored to individual patient anatomy and fistula characteristics.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Coronary artery fistulas (CAFs) are uncommon congenital or acquired cardiovascular abnormalities.
  • Clinical presentation and management guidelines for CAFs lack specificity, particularly for symptomatic cases.

Keywords:
congenital heart defectcoronary artery bypasspercutaneous coronary intervention

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