Successful transarterial embolization of coronary artery fistula with ruptured aneurysm: A case report

Masafumi Sakai, MD; Kensaku Mori, MD; Sodai Hoshiai, MD; Shunsuke Kikuchi, MD; Tomoya Hoshi, MD; Akira Sato, MD; Masafumi Ohtani, MD; Manabu Minami, MD

Radiology Case Reports (Jan 2019)

Successful transarterial embolization of coronary artery fistula with ruptured aneurysm: A case report

Masafumi Sakai, MD,
Kensaku Mori, MD,
Sodai Hoshiai, MD,
Shunsuke Kikuchi, MD,
Tomoya Hoshi, MD,
Akira Sato, MD,
Masafumi Ohtani, MD,
Manabu Minami, MD

Affiliations

Masafumi Sakai, MD: Department of Diagnostic & Interventional Radiology, University of Tsukuba Hospital, Amakubo 2-1-1, Tsukuba, Ibaraki 305-8576, Japan; Corresponding author.
Kensaku Mori, MD: Department of Radiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
Sodai Hoshiai, MD: Department of Radiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
Shunsuke Kikuchi, MD: Department of Diagnostic & Interventional Radiology, University of Tsukuba Hospital, Amakubo 2-1-1, Tsukuba, Ibaraki 305-8576, Japan
Tomoya Hoshi, MD: Department of Cardiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
Akira Sato, MD: Department of Cardiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
Masafumi Ohtani, MD: Department of Cardiology, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan
Manabu Minami, MD: Department of Radiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan

Journal volume & issue: Vol. 14, no. 1
pp. 126 – 128

Abstract

Read online

We report a case of a coronary artery fistula (CAF) with ruptured aneurysm treated using transarterial embolization (TAE) alone. The ruptured aneurysm caused cardiac tamponade, and it was isolated by embolizing its afferent and efferent vessels using detachable coils. To our knowledge, this is the first case report of successful TAE for a CAF with ruptured aneurysm. We believe that if the patient condition is stable and the CAF is anatomically simple, TAE can be a less-invasive alternative to surgery. Keywords: Coronary artery fistula, Coronary artery aneurysm, Embolization

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

About the journal