Successful Transcatheter Closure of a Rare Coronary-Pulmonary Artery Fistula Causing Reversible Myocardial Ischemia and Heart Failure: Report of a Case-Juniper Publishers
JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Coronary artery fistula is a rare, abnormal fistulous communication between a coronary artery and a cardiac chamber or large vessel. Being mostly asymptomatic, coronary artery fistula can seldom cause myocardial ischemia, heart failure, arrhythmias and infective endocarditis. We present you a case of coronary-pulmonary artery fistula causing reversible myocardial ischemia and heart failure which is successfully treated by transcatheter coil embolisation method. Keywords: Heart failure; Coronary artery fistula; Coronary anomaly; Coil embolisation; Myocardial ischemia Introduction Coronary artery fistulas (CAFs) are anomalous terminations of coronary arteries in cardiac chambers or great arteries created by bypassing the myocardial capillary bed [ 1 ]. CAFs are rare and mostly asymptomatic. However, hemodynamically significant CAFs may cau...