Iatrogenic ST Elevation during Percutaneous Closure of a Coronary Artery Fistula

2011 ◽  
Vol 7 (1) ◽  
pp. 80-83 ◽  
Author(s):  
Nicholas Collins ◽  
Lee N. Benson ◽  
Eric M. Horlick
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Fistula ◽  
Percutaneous Closure ◽  
St Elevation

Non-ST elevation myocardial infarction (NSTEMI) and complex coronary artery fistula in a fit 57-year-old man and its management

2021 ◽  
Vol 14 (2) ◽  
pp. e237321
Author(s):  
Muhamamd Isfandyar Khan Malik
Keyword(s):  
Coronary Artery ◽  
Systolic Function ◽  
Artery Bypass ◽  
Main Pulmonary Artery ◽  
Coronary Artery Fistula ◽  
Stent Insertion ◽  
Wave Inversion ◽  
Gated Acquisition ◽  
St Elevation ◽  
Obtuse Marginal

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 mid left anterior descending (LAD) artery, severe ostial disease in obtuse marginal 1 (OM1) and large coronary artery fistula between proximal LAD and main pulmonary artery (PA). Subsequent cardiac CT multiple gated acquisition 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 team (MDT) discussion, the patient was offered coronary artery bypass grafting (CABG) and fistula ligation as 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.

scholarly journals A case report of a coronary artery fistula to coronary sinus with giant aneurysm: risk does not end with repair

2020 ◽  
Author(s):  
Giulia Poretti ◽  
Mauro Lo Rito ◽  
Alessandro Varrica ◽  
Alessandro Frigiola
Keyword(s):  
Coronary Artery ◽  
Coronary Sinus ◽  
Giant Aneurysm ◽  
Coronary Aneurysm ◽  
Coronary Artery Fistula ◽  
Percutaneous Closure ◽  
Low Flow ◽  
Circumflex Artery ◽  
Coronary Aneurysms

Abstract Background Isolated coronary arteriovenous fistulas are extremely rare, accounting for 0.08–0.4% of all congenital heart disease. Closure of the fistula is recommended in cases of large dimensions, relevant left–right shunt, or ischaemic events. Thrombosis of the coronary aneurysms may occur as a postoperative complication. Case summary We report a case of a coronary fistula between the circumflex artery and coronary sinus with giant aneurysm. After a failed percutaneous closure attempt, the patient was surgically treated without major postoperative complications. Despite therapeutic anticoagulation and antiplatelet therapy, she presented at clinical follow-up with thrombosis of the dilated coronary artery without signs or symptoms of ischaemia. Discussion Management of coronary artery fistula may be challenging in cases in which initial percutaneous closure is unsuccessful. This particular case also highlights the importance of close follow-up, despite optimal therapy, to detect potentially lethal complications related to the low flow in the dilated coronary aneurysm.

scholarly journals Percutaneous closure of coronary artery fistula: long-term follow-up results

2015 ◽  
Vol 4 ◽  
pp. 318-322
Author(s):  
Erdogan Ilkay ◽  
Ozlem Ozcan Celebi ◽  
Fehmi Kacmaz ◽  
Ozcan Ozeke
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Fistula ◽  
Percutaneous Closure ◽  
Long Term Follow Up

scholarly journals An unusual case of ST elevation myocardial infarction in a teenager with a coronary artery fistula.

2016 ◽  
Vol 6 ◽  
Author(s):  
Francesca Cortese ◽  
Michele Gesualdo ◽  
Tommaso Acquaviva ◽  
Filippo Masi ◽  
Domenico Zanna ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Unusual Case ◽  
Coronary Artery Fistula ◽  
St Elevation Myocardial Infarction ◽  
St Elevation

scholarly journals Percutaneous closure of a fistula from the left circumflex coronary artery to the coronary sinus in an infant

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110217
Author(s):  
Yun Bao ◽  
Tian-Yuan Xiong ◽  
Xiao Li ◽  
Yuan Feng
Keyword(s):  
Coronary Artery ◽  
Coronary Sinus ◽  
Coronary Artery Fistula ◽  
Percutaneous Closure ◽  
Circumflex Coronary Artery ◽  
Vascular Plug ◽  
Left Circumflex Coronary Artery ◽  
Great Vessels ◽  
Rare Situation

Coronary artery fistula is an abnormal direct connection between the coronary artery and any of the four chambers of the heart or great vessels. A fistula from the left circumflex coronary artery to the coronary sinus is a relatively rare situation. We report a case of 12-month-old infant with coronary artery fistula from the left circumflex coronary artery to the coronary sinus that was identified incidentally. The N-terminal pro-brain natriuretic peptide level was elevated. Additionally, the proximal segment of the left circumflex coronary artery was dilated. On the basis of these findings, percutaneous closure of the fistula was performed with a vascular plug. This procedure achieved no residual flow and good hemodynamics were observed during follow-up.

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