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Coronary-Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization.


ABSTRACT: A 57-year-old woman presented with effort angina. A coronary angiogram revealed critical 2-vessel disease, for which she subsequently underwent percutaneous coronary intervention. During angioplasty, a coronary guidewire-inadvertently passed into the right ventricle through the septal branches of the posterior descending coronary artery-caused a coronary artery-to-right ventricular fistula. This fistula was successfully closed percutaneously by coil embolization. To our knowledge, this is the first report of a case in which a coronary artery-to-right ventricular fistula caused by a guidewire was managed successfully by coil embolization.

SUBMITTER: Banerjee S 

PROVIDER: S-EPMC4979395 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Coronary-Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization.

Banerjee Suvro S   Patra Soumya S  

Texas Heart Institute journal 20160801 4


A 57-year-old woman presented with effort angina. A coronary angiogram revealed critical 2-vessel disease, for which she subsequently underwent percutaneous coronary intervention. During angioplasty, a coronary guidewire-inadvertently passed into the right ventricle through the septal branches of the posterior descending coronary artery-caused a coronary artery-to-right ventricular fistula. This fistula was successfully closed percutaneously by coil embolization. To our knowledge, this is the fi  ...[more]

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