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  • Title: Transcatheter closure of a congenital coronary artery to right ventricle fistula: a case report.
    Author: Gribaa R, Slim M, Ouali S, Neffati E, Boughzela E.
    Journal: J Med Case Rep; 2014 Dec 16; 8():432. PubMed ID: 25511876.
    Abstract:
    INTRODUCTION: Congenital coronary artery fistula is a rare anomaly that may cause angina, atrial fibrillation, endocarditis, aneurysmal dilation and myocardial infarction. Both spontaneous regression and life-threatening complications have been described. Treatment can be conservative, surgical or more recently through transcatheter closure. CASE PRESENTATION: We report the case of a 27-year-old Tunisian man with a large coronary artery fistula from the left anterior descending artery to the right ventricle associated with pulmonary stenosis. This patient underwent a successful transcatheter closure of his coronary artery fistula followed by pulmonary dilatation and had an uneventful recovery after treatment. CONCLUSIONS: Transcatheter closure of a congenital coronary artery fistula is feasible and should be considered in carefully selected patients. Recanalization of the treated coronary fistula can occur, so follow-up angiography or other imaging modality should be performed in these patients.
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