scholarly journals Successful Percutaneous Closure of a Well-Developed Arteriovenous Coronary Fistula With a Giant Aneurysm

Author(s):  
Isaac Pascual ◽  
Pablo Avanzas ◽  
Daniel Hernández-Vaquero ◽  
Enrique Ríos ◽  
María Martín ◽  
...  
Author(s):  
Giulia Poretti ◽  
Mauro Lo Rito ◽  
Alessandro Varrica ◽  
Alessandro Frigiola

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.


2016 ◽  
Vol 225 ◽  
pp. 381-383 ◽  
Author(s):  
Damiano Regazzoli ◽  
Manuela Giglio ◽  
Francesca Besana ◽  
Pier Pasquale Leone ◽  
Akihito Tanaka ◽  
...  

2011 ◽  
Vol 28 (2) ◽  
pp. 248-252 ◽  
Author(s):  
Marina Leitman ◽  
Rafael Hirsch ◽  
Simcha Rosenblatt ◽  
Nickolay Theodorovich ◽  
Ricardo Krakover ◽  
...  

2019 ◽  
Vol 3 (4) ◽  
pp. 1-5
Author(s):  
Javier Bertolín Boronat ◽  
Valentina Faga ◽  
Pablo Aguar Carrascosa ◽  
Vicente Mora Llabata

Abstract Background Ischaemic chest pain can be originated by different causes. Among all, coronary fistulas are rarely the reason. Such entities are usually asymptomatic and can be diagnosed by echocardiography or coronary angiography. In an even rarer scenario, coronary fistulas might dilate and form an aneurysm. Case summary We report the case of a 62-year-old patient who was initially referred to the emergency department for stable angina. Coronary angiography and computed tomography scan showed a giant aneurysm relating to a coronary fistula with a course from the circumflex coronary artery to the superior vena cava. The aneurysm was critically compressing the left anterior descending coronary artery. It was confirmed and resolved by surgery. Discussion Giant aneurysms of a coronary fistula are very uncommon entities. We describe a rare case of angina caused by extrinsic compression of the left anterior descending artery from a giant aneurysm of a coronary fistula.


2013 ◽  
Vol 03 (02) ◽  
pp. 215-217
Author(s):  
Pablo Díez Villanueva ◽  
Fernando Sarnago Cebada ◽  
Enrique Gutiérrez Ibañes ◽  
Ricardo Sanz-Ruíz ◽  
Jaime Elízaga-Corrales ◽  
...  

2004 ◽  
Vol 6 (3-4) ◽  
pp. 156-159 ◽  
Author(s):  
Manuela Drago ◽  
Massimo Chessa ◽  
Butera Gianfranco ◽  
Eduardo Bossone ◽  
Mario Carminati

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