Diffuse Coronary Artery Fistula Leading to Syncope and Treated with Transcatheter Coil Occlusion and a Defibrillator: A Case Report.
Coronary artery fistula
Defibrillator
Syncope
Transcatheter coil occlusion
Journal
Medical principles and practice : international journal of the Kuwait University, Health Science Centre
ISSN: 1423-0151
Titre abrégé: Med Princ Pract
Pays: Switzerland
ID NLM: 8901334
Informations de publication
Date de publication:
2019
2019
Historique:
received:
08
07
2018
accepted:
14
04
2019
pubmed:
18
4
2019
medline:
26
6
2020
entrez:
18
4
2019
Statut:
ppublish
Résumé
Coronary artery fistulas connecting coronary arteries to cardiac cavities are rare but clinically significant anomalies. A 47-year-old male patient presented with syncope. Left ventricular dysfunction was detected on echocardiography. Extensive coronary fistulas draining into the left ventricle were found on coronary angiography. Ventricular fibrillation was induced on electrophysiology study. Because of the induction of ventricular fibrillation, extensive fistulas, and presence of other risk factors, an implantable cardioverter defibrillator was implanted. After the detection of ischemia by nuclear scanning, microcoil occlusion of the fistula was performed. The present case describes extensive fistulas complicated with fatal ventricular arrhythmias due to ischemia and left ventricle dysfunction. A cardioverter defibrillator was implanted to prevent sudden cardiac death.
Identifiants
pubmed: 30995647
pii: 000500309
doi: 10.1159/000500309
pmc: PMC6771045
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
493-496Informations de copyright
© 2019 The Author(s) Published by S. Karger AG, Basel.
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