Successful coil embolization of a large coronary artery fistula in a patient with congestive heart failure
Turk Kardiyoloji Dernegi Arsivi, cilt.34, sa.1, ss.47-50, 2006 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 1
- Basım Tarihi: 2006
- Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.47-50
- Anahtar Kelimeler: Arteriovenous fistula/therapy, Coronary angiography, Coronary vessel anomalies, Embolization, therapeutic, Heart catheterization
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Although a minority of coronary artery fistulae are small in caliper and may be asymptomatic throughout life, most cases will require intervention by either transcatheter techniques or surgery because of evolving symptoms. We report a 70-year-old female patient who underwent successful coil embolization of a coronary artery fistula that was associated with congestive heart failure. On presentation, she had dyspnea, palpitation, chest pain, functional capacity of NYHA class III, a pansystolic murmur of grade 3/6 in the right parasternal region, and a continuous murmur of grade 2-3/6 in the second left intercostal space and at the base of the heart. Selective coronary angiography showed a large coronary artery fistula, originating from the proximal left anterior descending coronary artery and draining into the main pulmonary artery. Embolization was performed with placement of one coil in the distal part and two coils in the proximal part of the fistula. The continuous murmur disappeared after the procedure. She was asymptomatic with significantly improved functional capacity at the second-month follow-up.