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REVIEW

Transcatheter Closure of Coronary Artery Fistulae: A Literature Review

Ata Firouzi1, Zahra Hosseini1, Zahra Khajali2, Sedigheh Saedi2, Mohammad Javad AlemzadehAnsari1,3,*
1Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Department of Cardiovascular Medicine, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
3 Cardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
* Corresponding Author: Mohammad Javad Alemzadeh-Ansari. Email:

Congenital Heart Disease 2020, 15(1), 21-31. https://doi.org/10.32604/CHD.2020.011515

Received 13 May 2020; Accepted 10 June 2020; Issue published 17 June 2020

Abstract

Coronary artery fistulae (CAFs) are anomalous connections that bypass the myocardial capillary bed between 1 or more coronary arteries and other cardiac chambers or other vessels. These fistulae are usually asymptomatic and are, thus, diagnosed incidentally. However, larger CAFs can cause various symptoms such as angina, exertional dyspnea, syncope, palpitation, and even sudden cardiac death. Treatment options include surgical closure and percutaneous transcatheter closure (TCC) with comparable safety and efficacy. The choice of device in TCC depends on the anatomic characteristics of the CAF, the age and size of the patient, the size of the occluded vessel, the appropriate size of the catheter to be used, and the tortuosity of the catheter course to reach the intended point. Herein, we present 4 cases treated via TCC and then offer an in-depth discussion regarding this coronary artery anomaly.

Keywords

Coronary artery fistulae; percutaneous transcatheter closure; surgical closure

Cite This Article

Firouzi, A., Hosseini, Z., Khajali, Z., Saedi, S., AlemzadehAnsari, M. J. (2020). Transcatheter Closure of Coronary Artery Fistulae: A Literature Review. Congenital Heart Disease, 15(1), 21–31.

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This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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