title: [Percutaneous closure of a giant coronary artery fistula draining into superior vena cava].
abstract: Coronary artery fistulas are rare coronary anomalies; coronary angiography remains the gold standard for the diagnosis, and is essential to plan either surgical or percutaneous intervention. The use of an Amplatzer Vascular Plug device in percutaneous closure of coronary fistulas has been recently described in a few cases of paediatric age patients, with positive results, but has never been reported in adult patients. We report the case of a 36-year-old female, with an unusually large right coronary artery fistula draining into superior vena cava that was successfully closed percutaneously, using a 14 mm Amplatzer device (Vascular Plug II, AGA). We also discuss our therapeutic option, since management of large, asymptomatic fistulas, is still a matter of debate, although most authors tend to recommend its closure.
authors.affiliation: Serviço de Cardiologia, Hospital de São João, Porto, Portugal. ana.lebreiro@gmail.com
authors.forename: Ana
authors.initials: A
authors.lastname: Lebreiro
authors.forename: Teresa
authors.initials: T
authors.lastname: Pinho
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Silva
authors.forename: António
authors.initials: A
authors.lastname: Madureira
authors.forename: Filipe
authors.initials: F
authors.lastname: Macedo
authors.forename: Isabel
authors.initials: I
authors.lastname: Ramos
authors.forename: Maria Júlia
authors.initials: MJ
authors.lastname: Maciel
mesh_terms: D000328:Adult; D001164:Arteriovenous Fistula / Q000473:pathology / Q000601:surgery*; D003324:Coronary Artery Disease / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D055989:Septal Occluder Device; D014683:Vena Cava, Superior