Publication Date
8-1-2016
Journal
The Texas Heart Institute 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
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
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.
