Frontiers in Cardiovascular Medicine (Jan 2022)

Case Report: Coronary-Pulmonary Fistula Closure by Percutaneous Approach: Learning From Mistakes

  • Vladimir Rubimbura,
  • Vladimir Rubimbura,
  • Grégoire Girod,
  • Grégoire Girod,
  • Alain Delabays,
  • Alain Delabays,
  • David Meier,
  • David C. Rotzinger,
  • David C. Rotzinger,
  • Olivier Muller,
  • Salah D. Qanadli,
  • Salah D. Qanadli,
  • Éric Eeckhout

DOI
https://doi.org/10.3389/fcvm.2021.779716
Journal volume & issue
Vol. 8

Abstract

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Coronary-pulmonary artery fistulas (CPAF) are congenital vascular anomalies detected incidentally in most cases. When a significant left-right shunt exists, surgical, or percutaneous treatment is indicated. We describe a challenging case of CPAF closure, by percutaneous approach, in a patient symptomatic for dyspnea and evidence of a significant left-right shunt. A first attempt to close the fistula was performed implanting a vascular plug but it quickly embolized. The plug was successfully retrieved. In a second attempt, we deployed several coils before implanting the vascular plug with total closure of the fistula. The combination of plugs and coils is associated with a higher success rate of closure.

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