title: Coronary-Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization.
abstract: A 57-year-old woman presented with effort angina. A coronary angiogram revealed critical 2-vessel disease, for which she subsequently underwent percutaneous coronary intervention. During angioplasty, a coronary guidewire-inadvertently passed into the right ventricle through the septal branches of the posterior descending coronary artery-caused a coronary artery-to-right ventricular fistula. This fistula was successfully closed percutaneously by coil embolization. To our knowledge, this is the first report of a case in which a coronary artery-to-right ventricular fistula caused by a guidewire was managed successfully by coil embolization.
authors.forename: Suvro
authors.initials: S
authors.lastname: Banerjee
authors.forename: Soumya
authors.initials: S
authors.lastname: Patra
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D062906:Cardiac Catheters; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D004562:Electrocardiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000295:instrumentation*; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
keywords: Coronary angiography; embolization, therapeutic; fistula/complications/etiology; iatrogenic disease; percutaneous coronary intervention; vascular fistula/etiology; ventricle, right; wounds, penetrating/complications