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Int J Angiol 2014; 23(02): 139-142
DOI: 10.1055/s-0033-1349168
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Aneurysmal Coronary Artery Fistulae: How Big is Big Enough?

Abhishek Jaiswal
1   Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, New York Hospital Queens/Weill Medical College of Cornell University, New York, New York
,
Chong H. Park
1   Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, New York Hospital Queens/Weill Medical College of Cornell University, New York, New York
› Author Affiliations
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Publication History

Publication Date:
27 June 2013 (online)

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Abstract

Coronary artery fistula (CAF) is the most common congenital anomaly of coronary arteries. Management strategies for CAF causing symptoms and large shunting are well described. With growing use of noninvasive imaging modalities, the diagnosis of asymptomatic CAF has increased. This poses challenge on the management of CAF with high-risk features as therapeutic strategy of incidentally found CAF remains open to debate. The actual risk of complications in such cases is mere speculations based on small studies and need to be revisited. We describe the case of an asymptomatic 78-year-old woman with a large saccular coronary aneurysm associated with coronary artery to pulmonary artery fistula that was treated successfully using coils. We discuss the updated literature on the management of CAF as well.

Keywords

coronary artery fistula - coronary angiography - coronary aneurysm - transcatheter interventions - coils
 

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