Key result
Transarterial coil embolization successfully isolates a ruptured coronary artery fistula aneurysm causing cardiac tamponade.
Why the study?
Coronary artery fistula with ruptured aneurysm causing cardiac tamponade lacks reported cases of successful treatment using transarterial embolization alone.
Does transarterial embolization using detachable coils successfully treat a coronary artery fistula with ruptured aneurysm?
Case Report (n=1)
Does transarterial embolization using detachable coils successfully treat a coronary artery fistula with ruptured aneurysm?
Transarterial embolization using detachable coils can be a successful, less-invasive alternative to surgery for treating a coronary artery fistula with a ruptured aneurysm.
May support TAE as less-invasive option in stable patients with simple CAF anatomy; leaves open need for larger series before broader adoption.
We report a case of a coronary artery fistula (CAF) with ruptured aneurysm treated using transarterial embolization (TAE) alone. The ruptured aneurysm caused cardiac tamponade, and it was isolated by embolizing its afferent and efferent vessels using detachable coils. To our knowledge, this is the first case report of successful TAE for a CAF with ruptured aneurysm. We believe that if the patient condition is stable and the CAF is anatomically simple, TAE can be a less-invasive alternative to surgery.
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Sakai et al. (2018) conducted a case report in Coronary artery fistula with ruptured aneurysm causing cardiac tamponade (n=1). Transarterial embolization (TAE) using detachable coils was evaluated on Successful isolation of the ruptured aneurysm. Transarterial embolization using detachable coils successfully isolated a coronary artery fistula with a ruptured aneurysm causing cardiac tamponade.
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