[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).
Mestre Barceló
José L
JL
Unidad de Hemodinámica y Cardiología Intervencionista, Instituto de Cardiología, Hospital Ramón y Cajal, Madrid, Spain. jlmestreb@yahoo.es
Salido Tahoces
Luisa
L
del Río del Busto
Alejandro
A
Camino López
Asunción
A
Moya Mur
José L
JL
Pey Illera
Jaime
J
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