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KMID : 1036020150040010035
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지질.동맥경화학회지
2015 Volume.4 No. 1 p.35 ~ p.38
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Complex Coronary Artery Fistula Causing Angina is Resolved Through Coil Embolization
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Lee Hyun-Jung
Kang Si-Hyuck
Koo Bon-Kwon
Lee Hae-Young
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Abstract
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Coronary artery fistulas (CAFs) are rare, mostly congenital cardiac anomalies. Most are asymptomatic and do not require treatment, but some can cause angina or exertional dyspnea. Symptomatic or hemodynamically significant fistulae can be treated with transcatheter or surgical methods of closure, with the former being a less invasive alternative while showing similar effectiveness and morbidity. We present a 52-year-old man with a complex coronary artery to pulmonary artery fistula causing angina, successfully treated by transcatheter coil embolization. Even without complete closure, this patient showed improvement of symptoms and objective indices of myocardial ischemia.
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KEYWORD
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Coronary artery fistula, Coronary artery to pulmonary artery fistula, Transcatheter coil embolization
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