Transcatheter closure of coronary artery fistulas

Department of Cardiology, Children's Hospital, Boston, Massachusetts 02115.

Transcatheter closure of a coronary artery fistula was undertaken in nine patients. There were three fistulas from the left circumflex coronary artery to the coronary sinus, three from the left anterior descending coronary artery to the right ventricular apex, two from the right coronary artery to the superior vena cava/right atrial junction and one fistula from the left circumflex artery to the pulmonary artery. The fistula was closed with Gianturco coils in six patients, a double-umbrella device in two and a combination of an umbrella and coils in one patient. All fistulas are completely occluded. Complications consisted of migration of two coils, one of which was retrieved, and a transient junctional tachycardia in one patient. In an additional three patients with multiple coronary artery fistulas, transcatheter occlusion was not attempted.

This article has been cited by other articles:

				A. M. Valente, J. E. Lock, K. Gauvreau, E. Rodriguez-Huertas, C. Joyce, L. Armsby, E. A. Bacha, and M. J. Landzberg Predictors of Long-Term Adverse Outcomes in Patients With Congenital Coronary Artery Fistulae Circ Cardiovasc Interv, April 1, 2010; 3(2): 134 - 139. [Abstract] [Full Text] [PDF]

				J. Hajj-Chahine, F. Haddad, I. El-Rassi, and V. Jebara Surgical management of a circumflex aneurysm with fistula to the coronary sinus Eur J Cardiothorac Surg, June 1, 2009; 35(6): 1086 - 1088. [Abstract] [Full Text] [PDF]

				A. Kalangos, S. Karaca, M. Cikirikcioglu, D. Vala, and D. Didier Aneurysmal circumflex coronary artery with fistulous connection to the coronary sinus J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 580 - 581. [Full Text] [PDF]

				P. Nguyen-Do, P. Bannon, and D. Y. Leung Coronary artery to the left atrial fistula after resection of atrial appendages Ann. Thorac. Surg., August 1, 2004; 78(2): e26 - e27. [Abstract] [Full Text] [PDF]

				K. M. Krishnamoorthy and S. Rao Saccular aneurysm of congenital coronary arteriovenous fistula Interact CardioVasc Thorac Surg, September 1, 2003; 2(3): 295 - 297. [Abstract] [Full Text] [PDF]

				U. Aydogan Transcatheter Embolization Treatment of Coronary Arteriovenous Fistulas Asian Cardiovasc Thorac Ann, March 1, 2003; 11(1): 63 - 67. [Abstract] [Full Text] [PDF]

				L. R. Armsby, J. F. Keane, M. C. Sherwood, J. M. Forbess, S. B. Perry, and J. E. Lock Management of coronary artery fistulae: Patient selection and results of transcatheter closure J. Am. Coll. Cardiol., March 20, 2002; 39(6): 1026 - 1032. [Abstract] [Full Text] [PDF]

				M. H. Chamberlain, R. Henry, S. Brann, and G. D. Angelini Surgical management of a gigantic circumflex coronary artery aneurysm with fistulous connection to the coronary sinus Eur J Cardiothorac Surg, December 1, 2001; 20(6): 1255 - 1257. [Abstract] [Full Text] [PDF]

				A. Oomman, R. Mao, P. Krishnan, and M. R. Girinath Congenital aortocaval fistula to the superior vena cava Ann. Thorac. Surg., September 1, 2001; 72(3): 911 - 913. [Abstract] [Full Text] [PDF]

				T. Misumi, K. Nishikawa, M. Yasudo, T. Suzuki, and H. Kumamaru Rupture of an aneurysm of a coronary arteriovenous fistula Ann. Thorac. Surg., June 1, 2001; 71(6): 2026 - 2027. [Abstract] [Full Text] [PDF]

				C A C Pedra, J Pihkala, D G Nykanen, and L N Benson Antegrade transcatheter closure of coronary artery fistulae using vascular occlusion devices Heart, January 1, 2000; 83(1): 94 - 96. [Abstract] [Full Text] [PDF]

				G S Kalra, P K Verma, S Singh, and R Arora Transcatheter closure of ventricular septal defect using detachable steel coil Heart, September 1, 1999; 82(3): 395 - 396. [Abstract] [Full Text] [PDF]

				I. Kadir, R. Ascione, S. Linter, and A. J. Bryan Intraoperative localisation and management of coronary artery fistula using transesophageal echocardiography Eur J Cardiothorac Surg, September 1, 1999; 16(3): 364 - 366. [Abstract] [Full Text] [PDF]

				H. D. Allen, R. H. Beekman III, A. Garson Jr, Z. M. Hijazi, C. Mullins, M. P. O'Laughlin, and K. A. Taubert Pediatric Therapeutic Cardiac Catheterization : A Statement for Healthcare Professionals From the Council on Cardiovascular Disease in the Young, American Heart Association Circulation, February 17, 1998; 97(6): 609 - 625. [Full Text] [PDF]

				C. Mavroudis, C. L. Backer, A. P. Rocchini, A. J. Muster, and M. Gevitz Coronary Artery Fistulas in Infants and Children: A Surgical Review and Discussion of Coil Embolization Ann. Thorac. Surg., May 1, 1997; 63(5): 1235 - 1242. [Abstract] [Full Text]

				J. T. Davis, H. D. Allen, J. J. Wheller, D. P. Chan, D. M. Cohen, D. W. Teske, S. C. Cassidy, J. M. Craenen, and J. W. Kilman Coronary artery fistula in the pediatric age group: A 19-year institutional experience Ann. Thorac. Surg., September 1, 1994; 58(3): 760 - 763. [Abstract] [PDF]