Multidisciplinary Approach to Closure of a Late-Presenting Large Coronary Artery Fistula.

ABSTRACT:

Background

Coronary artery fistulas (CAFs) are rare congenital arteriovenous malformations that are usually incidentally discovered. Once a CAF is confirmed, the management involves surveillance or a transcatheter or surgical intervention for certain patient populations as highlighted herein.

Case summary

A 63-year-old male bodybuilder presented with lightheadedness and wide complex tachyarrhythmia requiring 2 defibrillator shocks. Coronary angiography revealed a large tortuous coronary fistula from the left main coronary artery/left circumflex artery emptying into the superior vena cava. Due to concerns for coronary steal, a decision was made to intervene. A nonsurgical multidisciplinary approach, utilizing coil embolization, was planned for fistula closure to preserve the

SUBMITTER: Harirforoosh S 

PROVIDER: S-EPMC12462122 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature