Congenitally severe tortuous circumflex artery fistula draining into the coronary sinus: transcatheter closure with Guglielmi detachable coils via different delivery system.
Coronary artery fistulae are very rare congenital anomalies which constitute 0.2-0.4% of all congenital heart diseases. The right chambers of the heart are the most frequent communication site of the coronary fistulae and may cause hemodynamic impairment in the coronary circulation. The fistulae arise frequently from right coronary and left anterior descending arteries. Fistulae from left circumflex artery are very rare. We report a case in which transcatheter embolization was performed with 3-mm Guglielmi detachable coils in a young adult with a rare type of congenital fistula originating from the circumflex artery and draining into the coronary sinus.
Gazi University Medical School, Cardiology Department, Ankara, Turkey. gtacoy@gmail.com
Gulten
G
Tacoy
Haksun
H
Ebinc
Baran
B
Onal
Adnan
A
Abaci
Erhan
E
Ilgit
Ridvan
R
Yalçin
D000328:Adult; D001164:Arteriovenous Fistula / Q000628:therapy*; D054326:Coronary Sinus / Q000002:abnormalities*; D003330:Coronary Vessel Anomalies / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D012720:Severity of Illness Index; D016896:Treatment Outcome