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- W2132271247 abstract "A 46-year-old man was referred to our center with chief complaint of chest pain and fatigue on exertion since 2 years ago. Physical examination was normal with no audible murmur. Electrocar-diography (ECG) showed normal sinus rhythm with no significant ST-T changes. Thransthoracic echocardiography revealed mild right ventricular dilatation and ejection fraction of 50%. Coronary angiogram(CAG) revealed significant lesion in mid part of left anterior descending artery (LAD) and a high-flow coronary artery fistula arising from the mid part of LAD artery communicating with main pulmonary artery (Fig. 1). Transcatheter coil embo-lism was used for treatment of fistula.The left anterior descending artery(LAD) was engaged with a 7F, JL 4.0 (cordis, USA) guiding catheter. A run-through guide wire (terumo, Japan) together with a microcatheter was passed through this guiding catheter to the LAD. Having removed the guide wire, a large microcoil (cook) (6mm x 5mm) was released to embolize the fistula that proved insufficient,but the repeat of the procedure was successful. Repeated angiography 15 minutes later showed satisfactory result (Fig. 2). The patient was free of symptoms during 12 months close fol-low up." @default.
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- W2132271247 date "2010-01-01" @default.
- W2132271247 modified "2023-09-28" @default.
- W2132271247 title "Transcatheter Coil Embolization of Coronary Artery Fistula" @default.
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