Conservatively Managed Iatrogenic Coronary Fistula to the Coronary Sinus During Primary Percutaneous Intervention

Tarek Mahdy1, Mahmoud Khedr1, Edward Hoey1

  • 1University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.

JACC. Case Reports
|December 12, 2025
PubMed

Insights

Iatrogenic coronary fistula, a rare complication of percutaneous coronary intervention, can occur from guidewire or balloon issues. Multimodality imaging guides individualized treatment for this coronary artery anomaly.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Iatrogenic coronary fistula is an uncommon complication arising from percutaneous coronary intervention (PCI).
  • This condition involves an abnormal connection between a coronary artery and a cardiac chamber or vessel.
Abstract

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