Publication Date

8-1-2016

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-15-5177

PMID

27547147

Publication Date(s)

August 2016

Language

English

PMCID

PMC4979395

PubMedCentral® Posted Date

8-1-2016

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Coronary angiography, embolization, therapeutic, fistula/complications/etiology, iatrogenic disease, percutaneous coronary intervention, vascular fistula/etiology, ventricle, right, wounds, penetrating/complications

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.

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