Transcatheter coil embolization of multiple bilateral congenital coronary artery fistulae.

Détails

ID Serval
serval:BIB_EF4C88A807F2
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Transcatheter coil embolization of multiple bilateral congenital coronary artery fistulae.
Périodique
Journal of Invasive Cardiology
Auteur(s)
Iglesias J.F., Thai H.T., Kabir T., Roguelov C., Eeckhout E.
ISSN
1557-2501 (Electronic)
ISSN-L
1042-3931
Statut éditorial
Publié
Date de publication
2010
Volume
22
Numéro
3
Pages
142-145
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
Coronary artery fistulae represent the most frequent congenital anomalies of the coronary arteries, but remain a relatively uncommon clinical problem. Moreover, multiple fistulae originating from both the left and the right coronary arteries and draining into the left ventricular chamber are a rare condition. Due to the low prevalence of these anomalies, the appropriate management of patients with symptomatic coronary artery fistulae is controversial. Transcatheter closure approaches have emerged as a less invasive strategy and are nowadays considered a valuable alternative to surgical correction with similar effectiveness, morbidity and mortality. The percutaneous management, however, is mainly limited by the individual anatomic features of the fistula and an appropriate patient's selection is considered as a key determining factor to achieve complete occlusion. Thus, success rates of transcatheter closure techniques reported in the literature are extremely variable and highly dependent upon the nature of the follow up, which, at present, is not standardized. The optimal management of symptomatic patients with multiple coronary artery fistulae still remains a challenging problem and has been traditionally considered as an indication for cardiac surgery. We report here the case of a patient with double bilateral congenital coronary artery fistulae arising from both the left and right coronary arteries and draining individually into the left ventricular chamber. This patient underwent successful transcatheter anterograde closure of both fistulae using a microcoil embolization technique.
Mots-clé
Adult, Catheterization, Coronary Angiography, Coronary Vessel Anomalies/radiography, Coronary Vessel Anomalies/therapy, Coronary Vessels, Embolization, Therapeutic/instrumentation, Embolization, Therapeutic/methods, Fistula/radiography, Fistula/therapy, Humans, Male, Treatment Outcome
Pubmed
Web of science
Création de la notice
14/07/2010 18:41
Dernière modification de la notice
03/03/2018 22:34
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