title: Transcatheter closure of a congenital coronary artery to right ventricle fistula: a case report.
abstract: BACKGROUND
  Congenital coronary artery fistula is a rare anomaly that may cause angina, atrial fibrillation, endocarditis, aneurysmal dilation and myocardial infarction. Both spontaneous regression and life-threatening complications have been described. Treatment can be conservative, surgical or more recently through transcatheter closure.
  
  
  METHODS
  We report the case of a 27-year-old Tunisian man with a large coronary artery fistula from the left anterior descending artery to the right ventricle associated with pulmonary stenosis. This patient underwent a successful transcatheter closure of his coronary artery fistula followed by pulmonary dilatation and had an uneventful recovery after treatment.
  
  
  CONCLUSIONS
  Transcatheter closure of a congenital coronary artery fistula is feasible and should be considered in carefully selected patients. Recanalization of the treated coronary fistula can occur, so follow-up angiography or other imaging modality should be performed in these patients.
authors.forename: Rym
authors.initials: R
authors.lastname: Gribaa
authors.affiliation: Department of Cardiology, Sahloul University Hospital, Hammam Sousse, Route de la Ceinture, 4011 Sousse, Tunisia. mehdislim_fms@yahoo.fr.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Slim
authors.forename: Sana
authors.initials: S
authors.lastname: Ouali
authors.forename: Elies
authors.initials: E
authors.lastname: Neffati
authors.forename: Essia
authors.initials: E
authors.lastname: Boughzela
mesh_terms: D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D005402:Fistula / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014416:Tunisia