Transcatheter closure of coronary artery fistulas
Author + information
- Stanton B. Perry, MD∗,
- Jonathan Rome, MD,
- John F. Keane, MD,
- Donald S. Baim, MD, FACC and
- James E. Lock, MD, FACC
- ↵∗Address for correspondence: Stanton B. Perry, MD, Department of Cardiology, The Children's Hospital, 300 Longwood Avenue, Boston, Massachusetts, 02115.
Abstract
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.
- Received September 5, 1991.
- Revision received January 7, 1992.
- Accepted February 3, 1992.
