Key result
Transcatheter coil embolization completely occludes coronary-pulmonary fistulae and resolves chest symptoms.
Why the study?
Does transcatheter coil embolization resolve abnormal fistula blood flow and ischemic chest symptoms in a young adult patient with myocardial ischemia caused by major aortopulmonary collateral arteries branching from the left circumflex artery?
Case Report (n=1)
No
Does transcatheter coil embolization resolve abnormal fistula blood flow and ischemic chest symptoms in a young adult patient with myocardial ischemia caused by major aortopulmonary collateral arteries branching from the left circumflex artery?
Answers are grounded in this paper and cite their sources.
Transcatheter coil embolization can effectively treat coronary steal-induced myocardial ischemia and resolve symptoms in adult congenital heart disease patients with persistent coronary-to-pulmonary artery fistulae (MAPCAs).
Major aortopulmonary collateral arteries branching from coronary arteries may cause coronary steal. The careful follow-up is needed irrespective of symptoms because increasing physical activities and oxygen demand along with the age may induce myocardial ischemia. Transcatheter intervention by well-trained physician would be a treatment option in patients with myocardial ischemia.
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Kakizaki et al. (2017) conducted a case report in Myocardial ischemia induced by major aortopulmonary collateral arteries (MAPCAs) branching from the left circumflex coronary artery (n=1). Transcatheter coil embolization of coronary artery fistulae was evaluated on Resolution of abnormal blood flow through coronary artery fistulae and chest symptoms. Transcatheter coil embolization using 17 coils completely occluded two major left circumflex-to-pulmonary artery fistulae and resolved chest symptoms in an 18-year-old male with MAPCAs.
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