Closure of coronary arterial fistula by covered stent graft during multivessel percutaneous coronary intervention: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20182255Keywords:
Coronary arterial fistula, Covered stent graftAbstract
Coronary arterial fistulae are usually incidental during coronary angiography. We report a case of triple vessel disease treated by multivessel percutaneous coronary intervention using drug-eluting stents (DES) and associated coronary arterial fistula to pulmonary artery with covered stent graft. In this case the coronary fistula from right coronary artery (RCA) was opened during dilatation of the obstructive coronary lesion. RCA had significant coronary lesions in the proximal and distal coronary, mid left anterior descending coronary artery and left circumflex artery, which are revascularized with DES. This patient had coronary arterial fistula arising from right coronary and left main coronary artery. Here, the patient was symptomatic because of the obstructive coronary artery disease.
References
Qureshi SA. Coronary arterial fistulas. Orphanet J Rare Dis. 2006;1:51.
Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation. 2002;105:2449-54.
Kassaian SE, Mahmoodian M, Salarifar M, Alidoosti M, Abbasi SH, Rasekh A. Stent-Graft Exclusion of Multiple Symptomatic Coronary Artery Fistulae. Texas Heart Institute J. 2007;34:199-202.
Stankovic G, Colombo A, Presbitero P, van den Branden F, Inglese L, Cernigliaro C, et al. Randomized evaluation of polytetrafluoroethylene-covered stent in saphenous vein grafts: The Randomized Evaluation of polytetrafluoroethylene COVERed stent in Saphenous vein grafts. Trial. Circulation. 2003;108:37-42.
Reidy JF, Sowton E, Ross DN. Transcatheter occlusion of coronary to bronchial anastomosis by detachable balloon combined with coronary angioplasty at same procedure. Br Heart J. 1983;49:284-7.
Reidy JF, Anjos RT, Qureshi SA, Baker EJ, Tynan MJ. Transcatheter embolization in the treatment of coronary artery fistulas. J Am Coll Cardiol. 1991;18:187-92.
De Santis A, Cifarelli A, Violini R. Transcatheter closure of coronary artery fistula using the new Amplatzer vascular plug and a telescoping catheter technique. J Cardiovasc Med. 2010;11:605-9.
Zhu XY, Zhang DZ, Han XM, Cui CS, Sheng XT, Wang QG, et al. Transcatheter closure of congenital coronary artery fistulae: immediate and long-term follow-up results. Clinical Cardiol. 2009;32:506-12.