Saphenous vein graft-to-left atrium fistula treated with percutaneous transcatheter embolization with coils.
Coronary artery fistulae are rare anomalies that are most commonly congenital and rarely acquired. We present a first case of a vein graft to the left atrium fistula that occurred post coronary artery bypass grafting and was treated with percutaneous transcatheter embolization with coiling. The coil was initially lost in the left atrium, but was successfully retrieved and the fistula was closed. We review the pertinent literature on acquired coronary artery fistulae and their management.
Zoghbi
Gilbert J
GJ
Section of Interventional Cardiology, University of Alabama at Birmingham, Birmingham 35294, Alabama, USA. gzoghbi@uab.edu
Saddekni
Souheil
S
Misra
Vijay K
VK
D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006328:Cardiac Catheterization; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000601:surgery; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006325:Heart Atria; D006801:Humans; D007049:Iatrogenic Disease; D008323:Mammary Arteries / Q000637:transplantation; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation