Transcatheter embolization of a large aneurysm in a congenital coronary cameral fistula from the left coronary artery to the right ventricle

Catheter Cardiovasc Interv. 2015 Feb 15;85(3):435-9. doi: 10.1002/ccd.25587. Epub 2014 Jul 9.

Abstract

A congenital coronary cameral fistula (CCCF) is characterized by left ventricular dysfunction, electrocardiographic changes due to a reduced left coronary blood flow and impaired physical activity. CCCF's with a giant aneurysm are very rarely seen. The presence of a giant aneurysm imposes even greater health risks. We report a case of a CCCF from the left coronary artery to the right ventricle with a large distal aneurysm in a 20-year-old woman that we closed percutaneously with coils for the closure of ventricular septal defects (VSD) and persistent ductus arteriosus (PDA).

Keywords: adults; angiographic/fluoroscopic; coil/device/transcatheter; complex PCI; congential heart disease; coronary anomaly; embolization; imaging; percutaneous coronary intervention.

Publication types

  • Case Reports

MeSH terms

  • Aortography
  • Cardiac Catheterization* / instrumentation
  • Coronary Aneurysm / diagnosis
  • Coronary Aneurysm / etiology
  • Coronary Aneurysm / therapy*
  • Coronary Angiography
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / diagnosis
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods*
  • Female
  • Heart Ventricles / abnormalities*
  • Heart Ventricles / diagnostic imaging
  • Humans
  • Prosthesis Design
  • Septal Occluder Device
  • Treatment Outcome
  • Vascular Fistula / complications*
  • Vascular Fistula / diagnosis
  • Young Adult