Key result
PDA occluder successfully closes congenital left coronary artery aneurysm and fistula out to one year.
Why the study?
Coronary artery aneurysms and fistulas are very rare congenital anomalies occurring in 0.2%-0.4% of all congenital heart diseases, with limited reports on transcatheter occluder embolization treatment.
Case Report (n=1)
No
Transcatheter PDA occluder embolization is a feasible and effective alternative to surgery for closing a congenital left coronary artery aneurysm and fistula draining into the right atrium.
May support transcatheter embolization for rare coronary aneurysm-fistula; leaves open need for prospective validation before broader use.
Coronary artery aneurysms and fistulas are very rare congenital anomalies. They occur in 0.2%-0.4% of all congenital heart diseases. In this article, we report a case of a 39-year-old girl with a left coronary artery aneurysm and fistula draining into the right atrium. An intervention is successfully achieved by transcatheter occluder embolization using a patent ductus arteriosus (PDA) occluder.
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Wang et al. (2012) conducted a case report in Congenital left coronary artery aneurysm and fistula draining into the right atrium (n=1). Transcatheter occluder embolization using a patent ductus arteriosus (PDA) occluder was evaluated on Fistula closure and symptom resolution. Transcatheter embolization using a patent ductus arteriosus occluder successfully closed a congenital left coronary artery aneurysm and fistula, with the patient remaining asymptomatic at one year.
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