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Case Report: Coil Occlusion of Two Congenital Coronary Cameral Fistulas Connecting Right and Left Circumflex Arteries to the Right Ventricle: An Innovative Stent-Assisted Technique

BACKGROUND: Coronary cameral fistulas (CCFs) are rare congenital malformations consisting of abnormal vascular connections between coronary arteries and cardiac chambers, often incidentally found during cardiac catheterizations. CASE SUMMARY: A 66-year-old female asymptomatic patient, without cardio...

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Autores principales: Buzaev, Igor V., Plechev, Vladimir V., Khalikova, Gulchachak, Khabirova, Kristina, Nikolaeva, Irina Evgenievna, Onorato, Eustaquio Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828911/
https://www.ncbi.nlm.nih.gov/pubmed/35155596
http://dx.doi.org/10.3389/fcvm.2021.769235
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author Buzaev, Igor V.
Plechev, Vladimir V.
Khalikova, Gulchachak
Khabirova, Kristina
Nikolaeva, Irina Evgenievna
Onorato, Eustaquio Maria
author_facet Buzaev, Igor V.
Plechev, Vladimir V.
Khalikova, Gulchachak
Khabirova, Kristina
Nikolaeva, Irina Evgenievna
Onorato, Eustaquio Maria
author_sort Buzaev, Igor V.
collection PubMed
description BACKGROUND: Coronary cameral fistulas (CCFs) are rare congenital malformations consisting of abnormal vascular connections between coronary arteries and cardiac chambers, often incidentally found during cardiac catheterizations. CASE SUMMARY: A 66-year-old female asymptomatic patient, without cardiovascular risk factors and a history of varicose veins lower extremities and coronavirus disease 2019 (COVID-19) pneumonia in December 2020, was diagnosed by coronary angiography with two large coronary cameral fistulas connecting the distal right coronary artery (RCA) and the distal left circumflex artery (LCx) to the right ventricle (RV). Additional imaging modalities such as two-dimensional transthoracic/transesophageal echocardiography and three-dimensional multidetector CT angiography were required to confirm the fistula's pathway (location, number, and size), which was difficult to delineate using selective coronary angiography alone. After heart team discussion, with the aim to reduce the risk of embolization, an innovative stent-assisted coil occlusion antegrade technique was used with optimal immediate results. DISCUSSION: Even though our otherwise asymptomatic patient was not the best suitable candidate for an interventional procedure (large vessels, multiple fistulas without distal narrowing, distal portion of the fistula not accessible with the closure device), the innovative stent-assisted fistula coil occlusion technique to stabilize the first coil and deploy safely the additional ones resulted to be key for successful and complete obliteration of the abnormal congenital vascular connections.
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spelling pubmed-88289112022-02-11 Case Report: Coil Occlusion of Two Congenital Coronary Cameral Fistulas Connecting Right and Left Circumflex Arteries to the Right Ventricle: An Innovative Stent-Assisted Technique Buzaev, Igor V. Plechev, Vladimir V. Khalikova, Gulchachak Khabirova, Kristina Nikolaeva, Irina Evgenievna Onorato, Eustaquio Maria Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Coronary cameral fistulas (CCFs) are rare congenital malformations consisting of abnormal vascular connections between coronary arteries and cardiac chambers, often incidentally found during cardiac catheterizations. CASE SUMMARY: A 66-year-old female asymptomatic patient, without cardiovascular risk factors and a history of varicose veins lower extremities and coronavirus disease 2019 (COVID-19) pneumonia in December 2020, was diagnosed by coronary angiography with two large coronary cameral fistulas connecting the distal right coronary artery (RCA) and the distal left circumflex artery (LCx) to the right ventricle (RV). Additional imaging modalities such as two-dimensional transthoracic/transesophageal echocardiography and three-dimensional multidetector CT angiography were required to confirm the fistula's pathway (location, number, and size), which was difficult to delineate using selective coronary angiography alone. After heart team discussion, with the aim to reduce the risk of embolization, an innovative stent-assisted coil occlusion antegrade technique was used with optimal immediate results. DISCUSSION: Even though our otherwise asymptomatic patient was not the best suitable candidate for an interventional procedure (large vessels, multiple fistulas without distal narrowing, distal portion of the fistula not accessible with the closure device), the innovative stent-assisted fistula coil occlusion technique to stabilize the first coil and deploy safely the additional ones resulted to be key for successful and complete obliteration of the abnormal congenital vascular connections. Frontiers Media S.A. 2022-01-27 /pmc/articles/PMC8828911/ /pubmed/35155596 http://dx.doi.org/10.3389/fcvm.2021.769235 Text en Copyright © 2022 Buzaev, Plechev, Khalikova, Khabirova, Nikolaeva and Onorato. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Buzaev, Igor V.
Plechev, Vladimir V.
Khalikova, Gulchachak
Khabirova, Kristina
Nikolaeva, Irina Evgenievna
Onorato, Eustaquio Maria
Case Report: Coil Occlusion of Two Congenital Coronary Cameral Fistulas Connecting Right and Left Circumflex Arteries to the Right Ventricle: An Innovative Stent-Assisted Technique
title Case Report: Coil Occlusion of Two Congenital Coronary Cameral Fistulas Connecting Right and Left Circumflex Arteries to the Right Ventricle: An Innovative Stent-Assisted Technique
title_full Case Report: Coil Occlusion of Two Congenital Coronary Cameral Fistulas Connecting Right and Left Circumflex Arteries to the Right Ventricle: An Innovative Stent-Assisted Technique
title_fullStr Case Report: Coil Occlusion of Two Congenital Coronary Cameral Fistulas Connecting Right and Left Circumflex Arteries to the Right Ventricle: An Innovative Stent-Assisted Technique
title_full_unstemmed Case Report: Coil Occlusion of Two Congenital Coronary Cameral Fistulas Connecting Right and Left Circumflex Arteries to the Right Ventricle: An Innovative Stent-Assisted Technique
title_short Case Report: Coil Occlusion of Two Congenital Coronary Cameral Fistulas Connecting Right and Left Circumflex Arteries to the Right Ventricle: An Innovative Stent-Assisted Technique
title_sort case report: coil occlusion of two congenital coronary cameral fistulas connecting right and left circumflex arteries to the right ventricle: an innovative stent-assisted technique
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828911/
https://www.ncbi.nlm.nih.gov/pubmed/35155596
http://dx.doi.org/10.3389/fcvm.2021.769235
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