Ten-year angiographic result of a large right coronary artery fistula treated percutaneously: many questions remain unanswered.
We describe an adult patient with right coronary artery to right atrium fistula, which was treated percutaneously 10 years earlier. His coronary angiogram done presently demonstrated no residual fistula, but there was persistence of aneurysmally dilated proximal right coronary artery segment that gave rise to many unanswered questions regarding management of coronary artery fistulas. We discuss the short- and long-term therapeutic dilemmas in the management of coronary artery fistula.
Department of Cardiology, Royal Hospital, Muscat, Oman. prashanthp_69@yahoo.co.in
Prashanth
P
Panduranga
Abdulla
A
Al-Riyami
Raghavan
R
Subramanyan
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000628:therapy*; D005402:Fistula / Q000000981:diagnostic imaging* / Q000628:therapy*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D013997:Time Factors; D016896:Treatment Outcome
D000925:Anticoagulants