Successful percutaneous coil embolization of coronary–pulmonary, –carotid, and –internal mammary artery fistulas

We herein describe a 57-year-old man with coronary–pulmonary artery fistulas that had abnormal connections between the left common carotid artery and the left internal mammary artery. The patient was treated with percutaneous coil embolization using antegrade (via the coronary artery) and retrograde...

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Bibliographic Details
Published in:Heart and vessels 2012-05, Vol.27 (3), p.331-336
Main Authors: Numasawa, Yohei, Kawamura, Akio, Hashimoto, Subaru, Endo, Ayaka, Yuasa, Shinsuke, Maekawa, Yuichiro, Kuribayashi, Sachio, Fukuda, Keiichi
Format: Article
Language:English
Subjects:
Arterio-Arterial Fistula - diagnostic imaging
Arterio-Arterial Fistula - therapy
Biomedical Engineering and Bioengineering
Cardiac Surgery
Cardiology
Carotid Arteries - diagnostic imaging
Case Report
Coronary Angiography - methods
Coronary Vessels
Embolization, Therapeutic
Humans
Male
Mammary Arteries - diagnostic imaging
Medical diagnosis
Medicine
Medicine & Public Health
Middle Aged
Multidetector Computed Tomography
Predictive Value of Tests
Pulmonary Artery - diagnostic imaging
Tomography
Treatment Outcome
Vascular Surgery
Vein & artery diseases
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Summary:We herein describe a 57-year-old man with coronary–pulmonary artery fistulas that had abnormal connections between the left common carotid artery and the left internal mammary artery. The patient was treated with percutaneous coil embolization using antegrade (via the coronary artery) and retrograde (via the pulmonary artery) approaches. Coronary artery fistulas have diverse anatomical variations, and it is important to thoroughly evaluate the anatomy before beginning any mode of treatment, surgical or endovascular. In the case reported herein, multislice computed tomography played a pivotal role in the preprocedure evaluation.
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-011-0172-y