Complex Coronary Artery Fistula Causing Angina is Resolved Through Coil Embolization.
- Author:
Hyun Jung LEE
1
;
Si Hyuck KANG
;
Bon Kwon KOO
;
Hae Young LEE
Author Information
- Publication Type:Case Report
- Keywords: Coronary artery fistula; Coronary artery to pulmonary artery fistula; Transcatheter coil embolization
- MeSH: Coronary Vessels*; Dyspnea; Embolization, Therapeutic*; Fistula*; Humans; Middle Aged; Myocardial Ischemia; Pulmonary Artery
- From:Journal of Lipid and Atherosclerosis 2015;4(1):35-38
- CountryRepublic of Korea
- Language:English
- Abstract: Coronary artery fistulas (CAFs) are rare, mostly congenital cardiac anomalies. Most are asymptomatic and do not require treatment, but some can cause angina or exertional dyspnea. Symptomatic or hemodynamically significant fistulae can be treated with transcatheter or surgical methods of closure, with the former being a less invasive alternative while showing similar effectiveness and morbidity. We present a 52-year-old man with a complex coronary artery to pulmonary artery fistula causing angina, successfully treated by transcatheter coil embolization. Even without complete closure, this patient showed improvement of symptoms and objective indices of myocardial ischemia.
