Transcatheter closure of a congenital coronary artery to right ventricle fistula: a case report.

Autor: Gribaa, Rym, Slim, Mehdi, Ouali, Sana, Neffati, Elies, Boughzela, Essia
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Zdroj: Journal of Medical Case Reports; 2014, Vol. 8 Issue 1, p306-315, 10p
Abstrakt: Introduction Congenital coronary artery fistula is a rare anomaly that may cause angina, atrial fibrillation, endocarditis, aneurysmal dilation and myocardial infarction. Both spontaneous regression and life-threatening complications have been described. Treatment can be conservative, surgical or more recently through transcatheter closure. Case presentation We report the case of a 27-year-old Tunisian man with a large coronary artery fistula from the left anterior descending artery to the right ventricle associated with pulmonary stenosis. This patient underwent a successful transcatheter closure of his coronary artery fistula followed by pulmonary dilatation and had an uneventful recovery after treatment. Conclusions Transcatheter closure of a congenital coronary artery fistula is feasible and should be considered in carefully selected patients. Recanalization of the treated coronary fistula can occur, so follow-up angiography or other imaging modality should be performed in these patients. [ABSTRACT FROM AUTHOR]
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