Coronary-pulmonary artery fistulas (CPF) are a rare malformation that is often asymptomatic but can be associated with dyspnea, angina, palpitation, dizziness, and syncope. Trans-catheter closure (TCC) with coil embolization is gaining prominence relative to surgical closure due to lower complications; however, there is a paucity of literature on the closure of CPFs with TCC. Here, we demonstrate a case series on the closure of a left anterior descending (LAD) artery to pulmonary artery (PA) fistula by advancing a guideliner into the coronary artery up to the origin of the coronary fistula in order to provide support for the advancement of the microcatheter and coil delivery.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9509005 | PMC |
| http://dx.doi.org/10.7759/cureus.28407 | DOI Listing |
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- An 80-year-old woman was found to have a mediastinal mass that progressed over two years, ultimately leading to a large aneurysm and a fistula between the coronary and pulmonary arteries.
- Surgical intervention successfully removed the aneurysms and closed the fistula, highlighting the need for awareness of VAR to improve treatment strategies in cardiovascular cases.
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