Pulmonary artery to coronary artery fistula after transbronchial lung biopsy

The frequency of coronary artery fistula among all coronary angiography patients is 0.1% to 0.2%; however, involvement of both the pulmonary artery and the right ventricle is a rare clinical entity. A 53-year-old man patient was admitted to our clinic with rarely occurring chest pain, palpitations, and dyspnea. A coronary angiogram showed a fistula between the left main coronary artery and both the pulmonary artery and the right ventricle. We performed a ligation of this fistula without cardiopulmonary bypass. Aorta and right ventricle sutures were made, and the proximal and distal portions of the fistula were obliterated with 5-0 Prolene sutures and previously prepared Teflon felt. The patient recovered and was discharged without any complications. The surgical indications for coronary artery fistulas are symptomatic disease, an aneurysmic coronary artery, signs of heart failure, and ischemia. The surgical options in such cases�depending on whether the fistula is complicated or not�are simple ligation or transarterial ligation under cardiopulmonary bypass.

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Coronary artery fistula between the left anterior descending artery and pulmonary artery

Baylor University Medical Center Proceedings ◽

10.1080/08998280.2017.1401380 ◽

2018 ◽

Vol 31 (1) ◽

pp. 64-66 ◽

Cited By ~ 1

Author(s):

Abdul Al-Douri ◽

Ari Cedars ◽

Dat Tran

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Coronary Artery Fistula ◽

Left Anterior Descending Artery

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COILUMICA: coil embolization of a coronary artery to pulmonary artery fistula via novel dual lumen micro catheter technique

CVIR Endovascular ◽

10.1186/s42155-020-00177-4 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Mithun Nambiar ◽

Julian Maingard ◽

Kenny Li ◽

Lee-Anne Slater ◽

Ronil V. Chandra ◽

...

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Coil Embolization ◽

Coronary Artery Fistula ◽

Exertional Dyspnea ◽

Balloon Catheters ◽

Catheter Technique ◽

Patient Reported ◽

Pulmonary Artery Fistula ◽

Micro Catheter

Abstract Background Management of coronary artery fistula (CAF) is based on obliterating the fistula communication between the cardiac arteries and other thoracic vessels. Case presentation We describe the presentation of an 85-year-old female with progressive exertional dyspnea on a background of a long standing left anterior descending diagonal to pulmonary artery fistula. We utilized neuro-interventional techniques to perform coil embolization via use of a Scepter XC dual lumen micro catheter. Conclusions Dual lumen balloon catheters allow for super-selective artery interrogation, stability of balloon positioning, with less trauma to vessel architecture and accurate embolization. There were no complications and the patient reported improvement of symptoms on review.

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A complex coronary artery fistula with aberrant mediastinic and abdominal feeding arteries and pulmonary artery drainage

Journal of Cardiovascular Medicine ◽

10.2459/jcm.0b013e32834a397c ◽

2011 ◽

Vol 12 (9) ◽

pp. 653-654 ◽

Cited By ~ 3

Author(s):

Vincenzo Russo ◽

Giangaspare Mineo ◽

Giovanni Rinaldi ◽

Maurizio Zompatori ◽

Rossella Fattori

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Coronary Artery Fistula

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UNUSUAL CAUSE OF ANGINA: PULMONARY ARTERY TO CORONARY ARTERY FISTULA

CHEST Journal ◽

10.1016/j.chest.2020.08.161 ◽

2020 ◽

Vol 158 (4) ◽

pp. A144

Author(s):

Chetana Pendkar ◽

Lillian Chow

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Coronary Artery Fistula

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Coronary artery fistula between single right coronary artery and right pulmonary artery: a case report and literature review

BMC Cardiovascular Disorders ◽

10.1186/s12872-015-0166-2 ◽

2015 ◽

Vol 15 (1) ◽

Author(s):

Li-Jian Xie ◽

Li Zhang ◽

Ting-Ting Xiao ◽

Jie Shen

Keyword(s):

Case Report ◽

Coronary Artery ◽

Literature Review ◽

Pulmonary Artery ◽

Right Coronary Artery ◽

Coronary Artery Fistula ◽

Right Pulmonary Artery ◽

Single Right Coronary Artery

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Successful Surgical Treatment of Giant Coronary Artery Aneurysm and Concomitant Coronary Artery Fistula to the Pulmonary Artery

The Heart Surgery Forum ◽

10.1532/hsf.2021 ◽

2018 ◽

Vol 21 (4) ◽

pp. E247-E249

Author(s):

Keito Suzuki ◽

Naoyuki Kimura ◽

Akira Sezai ◽

Satoshi Unosawa ◽

Makoto Taoka ◽

...

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Coronary Artery Aneurysm ◽

Artery Bypass ◽

Artery Aneurysm ◽

Coronary Artery Fistula ◽

Fistula Formation ◽

Bypass Grafting ◽

Postoperative Course ◽

Giant Coronary Artery Aneurysm

Giant coronary artery aneurysm (GCAA) combined with coronary artery fistula to the pulmonary artery (PA) is rare. A 79-year-old man was accidentally discovered with GCAA. He was operated on by use of aneurysmorrhaphy, and closure of the fistulae was performed. Because ischemic changes appeared, coronary artery bypass grafting was done. The postoperative course was uneventful, and the patient was discharged on postoperative day 14. We report here a case of GCAA with a size of 66 × 52 mm in diameter associated with a fistula formation into the PA. It is one of the largest sizes of GCAA that has occurred after fistula formation.

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996 Non ST Elevation Myocardial Infarction (NSTEMI) And Complex Coronary Artery Fistula In A Fit 57 Year Old Man And Its Management

British Journal of Surgery ◽

10.1093/bjs/znab259.251 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

M I K Malik

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Systolic Function ◽

Artery Bypass ◽

Main Pulmonary Artery ◽

Coronary Artery Fistula ◽

Stent Insertion ◽

Rare Finding ◽

Wave Inversion ◽

Obtuse Marginal

Abstract A fit 57-year-old man presented with exertional chest pain to the emergency department and was found to have anterolateral T wave inversion on ECG and blood troponin of 1290. Coronary angiography showed a severe proximal to mid-course lesion in the mid left anterior descending artery (LAD), severe ostial disease in obtuse marginal 1 (OM1) and large a coronary artery fistula (CAF) between the proximal LAD and main pulmonary artery (PA). Subsequent cardiac computer tomography multiple gated acquisition (CT MUGA) scan showed a coronary artery to main PA fistula, fed by small branches of the LAD and right coronary artery (RCA). Cardiac magnetic resonance (CMR) showed preserved left ventricle systolic function, ejection fraction 62%, and small left to right shunt. Following multidisciplinary discussion, the consensus was to offer coronary artery bypass grafting (CABG) and fistula ligation as the first option, but percutaneous intervention (PCI) to the LAD would also be feasible. After lengthy discussions, the patient declined CABG and opted for PCI and stent insertion. CAF on angiogram is a rare finding, CAF is an abnormal connection between a coronary artery and either a cardiac chamber or a great vessel including the pulmonary artery. This case highlights a rare finding and its subsequent investigative workup and management considerations.

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