A CLINICAL CASE OF ENDOVASCULAR TREATMENT OF CORONARY-RIGHT ATRIAL AND SUBCLAVIAN PULMONARY- RIGHT ATRIAL FISTULA

Abstract

The article gives a detailed analysis of examination and treatment of a patient with of coronary-right atrial and subclavian pulmonary- right atrial fistula. Coronary fistula is congenital anomaly when the coronary artery flows into chambers of heart that results in blood shunting and steal syndrome. The severity assessment of the clinical symptoms was performed by using ECG, x-ray chest, ECHO-CG, angiography. The embolization of the fistula using Gianturco coils and further estimation in one month and then in two months were conducted. As a result, the patient have decreased clinical symptoms of the disease i.e. walk distance increased, breath shortness decreased, lungs pneumatization increased, heart chambers size became normal. The endovascular embolization of coronary fistulas using coils is a highly effective and safe method, leading to improvement of the clinical picture.

Keywords

• коронарно-правопредсердная фистула
• подключично-легочно-правопредсердная фистула
• диагностика
• лечение
• эндоваскулярная эмболизация