Work

Percoronary device occlusion of a large coronary artery fistula: Case report

Year: 2025

Type: article

Abstract: RATIONALE: As a rare congenital heart malformation, coronary artery fistula (CAF) may lead to serious complications such as myocardial ischemia. While conservative management can alleviate symptoms, surgical ligation or interventional occlusion offers a definitive cure. This article reports a unique interventional case. PATIENT CONCERNS: A 6-year-old female patient diagnosed as CAF presented with exertional chest pain, and imaging revealed a "sausage-like" aneurysmal dilation of the left anterior descending coronary artery, with a tail-like structure at its distal end draining into the right ventricle at an acute angle. DIAGNOSES: The patient was diagnosed with a CAF. INTERVENTIONS AND OUTCOMES: The medical team innovatively employed a probe-assisted delivery system to successfully perform a transthoracic occlusion procedure under real-time guidance exclusively by transesophageal echocardiography. LESSONS: This case demonstrates that, even in the face of complex anatomical pathways, this radiation-free, precise occlusion technique can achieve safe and effective therapeutic outcomes, providing a new and reliable option for the treatment of CAF.

Source: Medicine

DOI: 10.1097/md.0000000000042830

Authors: Run-Tian Pai, Zhen Tan, Li Hongxin, Shi-Bin Sun

Institutions: Weifang Medical University, Shandong Provincial QianFoShan Hospital, Shandong First Medical University

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: gold

Estimated APC paid: $1,950