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Diagnosis, Management, and Treatment of Coronary Artery Fistulas: Three Case Reports and Literature Review

Year: 2025

Type: article

Abstract: Coronary artery fistulas represent a form of congenital coronary arteriovenous malformation.They originate from coronary arteries and most commonly drain into the right atrium and right ventricle, with less frequent drainage into the coronary sinus or pulmonary trunk.Clinical manifestations are influenced by the extent of the left-to-right shunt, which can result in ischemia due to diversion of blood from the nearby myocardium, despite the absence of atherosclerotic coronary artery disease.Coronary angiography continues to be the primary method for diagnosis and enables the interventional closure of these fistulas.Current congenital heart disease guidelines recommend considering both symptoms and fistula size when determining the need for closure.This report represents three patients evaluated in our outpatient clinic who underwent successful treatment with percutaneous coil embolization.

Source: Interventional Cardiology Perspectives

DOI: 10.4274/intercardiopers.2025.2025-2-11

Authors: Damla Yalçınkaya Öner, Mikail Yarlıoğlueş, Elif Ergün, Sani Namık Murat

Institutions: Karaman Eğitim ve Araştırma Hastanesi, Ankara Eğitim ve Araştırma Hastanesi

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411430680