title: Successful percutaneous coil embolization of a large and tortuous coronary artery to pulmonary artery fistula.
abstract: We herein report the case of a 73-year-old woman with a large and tortuous coronary artery to pulmonary artery fistula treated with percutaneous coil embolization. The patient was hospitalized due to unstable angina with an elevated serum troponin-T level. Coronary angiography revealed no significant atherosclerotic stenosis, with a large and tortuous coronary artery to pulmonary artery fistula originating from the proximal portion of the left anterior descending artery. We successfully performed percutaneous coil embolization of the fistula. In this case, 320-slice multidetector computed tomography played a pivotal role in the diagnosis and percutaneous intervention.
authors.affiliation: Department of Cardiology, Ashikaga Red Cross Hospital, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Numasawa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Motoda
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yamazaki
authors.forename: Toshiki
authors.initials: T
authors.lastname: Kuno
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Takahashi
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000209:etiology; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D061330:Multidetector Computed Tomography; D011651:Pulmonary Artery / Q000000981:diagnostic imaging