Coil embolization of a coronary fistula in a post-transplant patient.
A 23-year-old man 6 months after post-orthotopic heart transplant was troubled by fatigue and breathlessness and noted to have a continuous murmur. Coronary angiography revealed five fistulae from the left anterior descending artery draining into the right ventricle. The left-to-right shunt was obliterated by coil embolization and this was associated with improvement in the patient's symptoms and a reduction in the murmur.
Furniss
S S
SS
Department of Academic Cardiology, Freeman Hospital, Newcastle upon Tyne, U.K.
Mitchell
L
L
Kitipawong
P
P
D000328:Adult; D001159:Arterio-Arterial Fistula / Q000209:etiology / Q000628:therapy*; D003327:Coronary Disease / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D011183:Postoperative Complications