title: Successful percutaneous coil embolization of coronary-pulmonary, -carotid, and -internal mammary artery fistulas.
abstract: We herein describe a 57-year-old man with coronary-pulmonary artery fistulas that had abnormal connections between the left common carotid artery and the left internal mammary artery. The patient was treated with percutaneous coil embolization using antegrade (via the coronary artery) and retrograde (via the pulmonary artery) approaches. Coronary artery fistulas have diverse anatomical variations, and it is important to thoroughly evaluate the anatomy before beginning any mode of treatment, surgical or endovascular. In the case reported herein, multislice computed tomography played a pivotal role in the preprocedure evaluation.
authors: Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan. numasawa@cpnet.med.keio.ac.jp
authors: Yohei
authors: Y
authors: Numasawa
authors: Akio
authors: A
authors: Kawamura
authors: Subaru
authors: S
authors: Hashimoto
authors: Ayaka
authors: A
authors: Endo
authors: Shinsuke
authors: S
authors: Yuasa
authors: Yuichiro
authors: Y
authors: Maekawa
authors: Sachio
authors: S
authors: Kuribayashi
authors: Keiichi
authors: K
authors: Fukuda
mesh_terms: D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002339:Carotid Arteries / Q000000981:diagnostic imaging; D017023:Coronary Angiography / Q000379:methods; D003331:Coronary Vessels; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D011237:Predictive Value of Tests; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D016896:Treatment Outcome