Transcatheter Closure of Left Circumflex Coronary Artery to Coronary Sinus Fistula.

ABSTRACT:

Background

Coronary artery fistula is a rare condition with variable presentations. Although traditionally managed surgically, percutaneous intervention is a viable option for high-risk patients.

Case summary

We report the case of a 65-year-old man with reduced left ventricular ejection fraction (25%) due to a left circumflex artery to coronary sinus fistula. He underwent successful percutaneous coil embolization using 3-dimensional-shaped platinum-based bare-metal coils.

Discussion

We present an alternative treatment in a high surgical risk patient with a distal left circumflex artery to coronary sinus fistula, a common phenotype for this rare condition. Despite elevated myocardial infarction risk due to distal location and potential side branch occlusion, percutaneo

SUBMITTER: Feldman D 

PROVIDER: S-EPMC12441517 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature