Dilated cardiomyopathy caused by a coronary-pulmonary fistula treated successfully with coil embolization.
We describe a case of dilated cardiomyopathy (DCM) caused by a coronary-pulmonary fistula and myocardial ischemia induced by the coronary steal phenomenon, which was successfully treated with coil embolization. Coronary fistulae and coronary-steal-induced ischemia are rare causes of DCM in adults with normal coronary arteries. Percutaneous treatment represents an alternative to surgery and may be offered as a relatively low-risk procedure. The choice between surgical and percutaneous treatment must take into account clinical and anatomical considerations.
Guo
Hangyuan
H
Department of Cardiology, Shaoxing People's Hospital, The First Affiliated Hospital of Medical College, Shaoxing University, Shaoxing, China. ghangyuan@hotmail.com
You
Bingquan
B
Lee
Jong-Dae
JD
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging / Q000628:therapy*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D011859:Radiography; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000628:therapy*