Transcatheter coil embolization of multiple coronary artery-to-left ventricle fistulas： report of a rare case  

作　　者：LI Ruo-gu FANG Wei-yi SHI Hong-yu QU Xin-kai CHEN Hui QIU Xin-biao XU Ying-jia DONG Jia-lin GUAN Shao-feng JIANG Bei WU Wei-hua 

机构地区：[1]Department of Cardiology, Shanghai Chest Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200030, China [2]Department of -Echocardiogram, Shanghai Chest Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200030, China

出　　处：《Chinese Medical Journal》2008年第14期1342-1344,共3页中华医学杂志（英文版）

摘　　要：Coronary artery fistula （CAF） is uncommon but remains the most frequent hemodynamically significant congenital coronary artery anomaly.The majority of fistula is single and drains into the right heart, only 3.5% into the left ventricle.^2 A large fistula requires closure to prevent complications such as myocardial ischemia resulting from coronary steal, congestive heart failure, endocarditis and potential aneurysmal dilatation and rupture.^3-5 Here we presented a rare case of CAF with multiple origins involving left anterior descending artery （LAD）, left circumflex branch （LCX） and right coronary artery （RCA）, and draining into the left ventricle, which was successfully closed by coil embolization.Coronary artery fistula （CAF） is uncommon but remains the most frequent hemodynamically significant congenital coronary artery anomaly.The majority of fistula is single and drains into the right heart, only 3.5% into the left ventricle.^2 A large fistula requires closure to prevent complications such as myocardial ischemia resulting from coronary steal, congestive heart failure, endocarditis and potential aneurysmal dilatation and rupture.^3-5 Here we presented a rare case of CAF with multiple origins involving left anterior descending artery （LAD）, left circumflex branch （LCX） and right coronary artery （RCA）, and draining into the left ventricle, which was successfully closed by coil embolization.

关 键 词：coronary artery fistula transcatheter coil embolization 

分 类 号：R543.3[医药卫生—心血管疾病]