Atrial tachycardia treated by coil embolization of a giant coronary artery fistula

Coronary artery fistulas are the second most frequently seen coronary anomaly following abnormalities of coronary artery origin and distribution. A coronary fistula is defined as a direct communication between a coronary artery and any cardiac chamber or vessel. Treatment options include percutaneou...

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Bibliographic Details
Published in:Revista portuguesa de cardiologia 2014-10, Vol.33 (10), p.651.e1-651.e4
Main Authors: Alihanoglu, Yusuf Izzettin, Uludag, Burcu, Kilic, Ismail Dogu, Yildiz, Bekir Serhat, Kocyigit, Ali, Evrengul, Harun
Format: Article
Language:English
Subjects:
Arteriovenous Fistula - complications
Arteriovenous Fistula - pathology
Arteriovenous Fistula - therapy
Atrial tachycardia
Coil embolization
Coronary Artery Disease - complications
Coronary Artery Disease - pathology
Coronary Artery Disease - therapy
Coronary artery fistula
Embolization, Therapeutic - instrumentation
Embolização com coil
Female
Fistula arterial coronária
Humans
Middle Aged
Tachycardia, Supraventricular - complications
Tachycardia, Supraventricular - therapy
Taquicardia auricular
Vena Cava, Inferior
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Summary:Coronary artery fistulas are the second most frequently seen coronary anomaly following abnormalities of coronary artery origin and distribution. A coronary fistula is defined as a direct communication between a coronary artery and any cardiac chamber or vessel. Treatment options include percutaneous embolization and surgical intervention. Herein, we present a case of a giant coronary artery fistula and right atrial tachycardia that was induced during a diagnostic electrophysiologic study but was not inducible after the successful treatment of the fistula. This is the first case indicating this association. As fístulas coronárias são a segunda anomalia mais frequente das artérias coronárias a seguir às anomalias coronárias da câmara de saída. A fístula define-se como uma comunicação direta entre as artérias coronárias e uma cavidade cardíaca ou estrutura vascular. As opções terapêuticas incluem a embolização percutânea e o tratamento cirúrgico. Apresentamos aqui um caso de uma fistula coronária gigante e taquicardia auricular direita induzida durante um estudo electrofisiológico diagnóstico e que não foi possível induzir após o tratamento bem sucedido da fístula. Este é o primeiro caso que reporta esta associação.
ISSN:0870-2551
2174-2030
DOI:10.1016/j.repc.2014.05.006