Percutaneous Closure of a Large Right Coronary Artery Fistula Draining Into the Superior Vena Cava.

ABSTRACT:

Background

Coronary fistulas exhibit considerable anatomic diversity, resulting in unique implications and treatment approaches.

Case summary

A 38-year-old man with palpitations, chest pain, and dizziness was diagnosed with a large coronary fistula connecting the proximal right coronary artery to the superior vena cava. Percutaneous occlusion was chosen to alleviate symptoms and elevated right-sided filling pressures. After angiotomographic and angiographic evaluation, vascular plugs were selected because of the large caliber of the fistula.

Discussion

This case highlights that although rare, coronary fistulas can cause significant clinical repercussions, and their management must be based on a comprehensive assessment of both clinical and anatomic factors.

Take-ho

SUBMITTER: Ogama MH 

PROVIDER: S-EPMC12478505 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature