[Closure of an iatrogenic coronary artery fistula with a PTFE-coated stent].
Acquired coronary-cameral fistula is an uncommon disorder. We describe a 50-year-old man with rheumatic valvular disease who required emergency mitral and aortic valve replacement due to Staphylococcus aureus acute infective endocarditis. He underwent further surgical interventions due to bleeding and prosthetic dehiscence. During follow-up, a continuous parasternal murmur was noted. Echocardiography showed continuous coronary fistula flow from the left anterior descending artery to the right ventricle. Elective closure of the ostium was achieved with direct implantation of a 3.5 x 16 mm PTFE-coated stent (Jostent Coronary System Graft, Jomed, Germany).
Unidad de Hemodinámica y Cardiología Intervencionista, Instituto de Cardiología, Hospital Ramón y Cajal, Madrid, Spain. jlmestreb@yahoo.es
José L
JL
Mestre Barceló
Luisa
L
Salido Tahoces
Alejandro
A
del Río del Busto
Asunción
A
Camino López
José L
JL
Moya Mur
Jaime
J
Pey Illera
D020099:Coated Materials, Biocompatible; D003331:Coronary Vessels / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D015607:Stents; D016157:Vascular Fistula / Q000628:therapy*
D020099:Coated Materials, Biocompatible; D011138:Polytetrafluoroethylene