Percutaneous coil embolization and stent implantation for multiple coronary-to-pulmonary artery fistulas with giant coronary aneurysms: a case report
Abstract Background Multiple coronary-to-pulmonary artery fistulas (CPAFs) with giant coronary aneurysms (CAs) are extremely rare. The appropriate therapeutic indication and strategy for CPAFs have not been established. Case summary Herein, we report the case of an asymptomatic 74-year-old woman wit...
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| Veröffentlicht in: | European heart journal : case reports 2022-03, Vol.6 (3), p.ytac104 |
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| container_title | European heart journal : case reports |
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| creator | Nakano, Yasuhiro Matoba, Tetsuya Nagatomo, Yusaku Tsutsui, Hiroyuki |
| description | Abstract
Background
Multiple coronary-to-pulmonary artery fistulas (CPAFs) with giant coronary aneurysms (CAs) are extremely rare. The appropriate therapeutic indication and strategy for CPAFs have not been established.
Case summary
Herein, we report the case of an asymptomatic 74-year-old woman with multiple CPAFs associated with giant CAs that had gradually developed over a 4-year period. After heart team discussion, we were successfully treated by minimally invasive intervention using transcatheter coil embolization and coronary stent implantation to prevent ruptures.
Discussion
Coronary-to-pulmonary artery fistulas required evaluation of the appropriate timing of therapy initiation with reference to the presence of symptoms and fistula and aneurysm sizes, and determination of the optimal therapeutic approach with reference to the anatomy of the fistula with aneurysm and patient background characteristics. |
| doi_str_mv | 10.1093/ehjcr/ytac104 |
| format | Article |
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Background
Multiple coronary-to-pulmonary artery fistulas (CPAFs) with giant coronary aneurysms (CAs) are extremely rare. The appropriate therapeutic indication and strategy for CPAFs have not been established.
Case summary
Herein, we report the case of an asymptomatic 74-year-old woman with multiple CPAFs associated with giant CAs that had gradually developed over a 4-year period. After heart team discussion, we were successfully treated by minimally invasive intervention using transcatheter coil embolization and coronary stent implantation to prevent ruptures.
Discussion
Coronary-to-pulmonary artery fistulas required evaluation of the appropriate timing of therapy initiation with reference to the presence of symptoms and fistula and aneurysm sizes, and determination of the optimal therapeutic approach with reference to the anatomy of the fistula with aneurysm and patient background characteristics.</description><identifier>ISSN: 2514-2119</identifier><identifier>EISSN: 2514-2119</identifier><identifier>DOI: 10.1093/ehjcr/ytac104</identifier><identifier>PMID: 35474680</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aneurysms ; Care and treatment ; Case Report ; Clopidogrel ; Congenital heart disease ; Genetic disorders ; Health aspects ; Heart diseases ; Stent (Surgery) ; Vascular fistula</subject><ispartof>European heart journal : case reports, 2022-03, Vol.6 (3), p.ytac104</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><rights>COPYRIGHT 2022 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c410t-47bf11a4fcf1f917ead6f37c67a5b5a0ca522ed5f745e9db99acf74aa865fe5b3</cites><orcidid>0000-0002-9362-4300 ; 0000-0003-4563-304X ; 0000-0001-8863-5737</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026215/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026215/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1603,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35474680$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Liu, Zhiyu</contributor><contributor>Vrachatis, Dimitrios A</contributor><contributor>Little, Callum</contributor><contributor>Cader, F Aaysha</contributor><contributor>Achim, Alexandru</contributor><contributor>Moroni, Francesco</contributor><contributor>Chakir, Mariame</contributor><creatorcontrib>Nakano, Yasuhiro</creatorcontrib><creatorcontrib>Matoba, Tetsuya</creatorcontrib><creatorcontrib>Nagatomo, Yusaku</creatorcontrib><creatorcontrib>Tsutsui, Hiroyuki</creatorcontrib><title>Percutaneous coil embolization and stent implantation for multiple coronary-to-pulmonary artery fistulas with giant coronary aneurysms: a case report</title><title>European heart journal : case reports</title><addtitle>Eur Heart J Case Rep</addtitle><description>Abstract
Background
Multiple coronary-to-pulmonary artery fistulas (CPAFs) with giant coronary aneurysms (CAs) are extremely rare. The appropriate therapeutic indication and strategy for CPAFs have not been established.
Case summary
Herein, we report the case of an asymptomatic 74-year-old woman with multiple CPAFs associated with giant CAs that had gradually developed over a 4-year period. After heart team discussion, we were successfully treated by minimally invasive intervention using transcatheter coil embolization and coronary stent implantation to prevent ruptures.
Discussion
Coronary-to-pulmonary artery fistulas required evaluation of the appropriate timing of therapy initiation with reference to the presence of symptoms and fistula and aneurysm sizes, and determination of the optimal therapeutic approach with reference to the anatomy of the fistula with aneurysm and patient background characteristics.</description><subject>Aneurysms</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Clopidogrel</subject><subject>Congenital heart disease</subject><subject>Genetic disorders</subject><subject>Health aspects</subject><subject>Heart diseases</subject><subject>Stent (Surgery)</subject><subject>Vascular fistula</subject><issn>2514-2119</issn><issn>2514-2119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqFkUFrFTEUhYMottQu3UrAjZtpk5nJzIsLoRSrQkEXug53MjfvpWSSIclYnv_D_2vaqY8WBMniJjffOdzLIeQ1Z2ecyeYcdzc6nu8zaM7aZ-S4Frytas7l80f3I3Ka0g1jrGaN7PrmJTlqRNu33YYdk9_fMOolg8ewJKqDdRSnITj7C7INnoIfacroM7XT7MDntW1CpNPisp0dFlUMHuK-yqGaFzfdPyjEjKUYm_LiINFbm3d0a4vFQVDccYn7NKX3FKiGhDTiHGJ-RV4YcAlPH-oJ-XH18fvl5-r666cvlxfXlW45y1XbD4ZzaI023EjeI4ydaXrd9SAGAUyDqGschelbgXIcpARd7gCbThgUQ3NCPqy-8zJMOOqyZwSn5minMp4KYNXTH293aht-KsnqruaiGLxdDbbgUFlvQsH0ZJNWF30nJNtw2Rbq7B9UOSNOVgePxpb-E0G1CnQMKUU0h5E4U3fJq_vk1UPyhX_zeI8D_TfnArxbgbDM__H6A247v-c</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Nakano, Yasuhiro</creator><creator>Matoba, Tetsuya</creator><creator>Nagatomo, Yusaku</creator><creator>Tsutsui, Hiroyuki</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9362-4300</orcidid><orcidid>https://orcid.org/0000-0003-4563-304X</orcidid><orcidid>https://orcid.org/0000-0001-8863-5737</orcidid></search><sort><creationdate>20220301</creationdate><title>Percutaneous coil embolization and stent implantation for multiple coronary-to-pulmonary artery fistulas with giant coronary aneurysms: a case report</title><author>Nakano, Yasuhiro ; Matoba, Tetsuya ; Nagatomo, Yusaku ; Tsutsui, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-47bf11a4fcf1f917ead6f37c67a5b5a0ca522ed5f745e9db99acf74aa865fe5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aneurysms</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Clopidogrel</topic><topic>Congenital heart disease</topic><topic>Genetic disorders</topic><topic>Health aspects</topic><topic>Heart diseases</topic><topic>Stent (Surgery)</topic><topic>Vascular fistula</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakano, Yasuhiro</creatorcontrib><creatorcontrib>Matoba, Tetsuya</creatorcontrib><creatorcontrib>Nagatomo, Yusaku</creatorcontrib><creatorcontrib>Tsutsui, Hiroyuki</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European heart journal : case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakano, Yasuhiro</au><au>Matoba, Tetsuya</au><au>Nagatomo, Yusaku</au><au>Tsutsui, Hiroyuki</au><au>Liu, Zhiyu</au><au>Vrachatis, Dimitrios A</au><au>Little, Callum</au><au>Cader, F Aaysha</au><au>Achim, Alexandru</au><au>Moroni, Francesco</au><au>Chakir, Mariame</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous coil embolization and stent implantation for multiple coronary-to-pulmonary artery fistulas with giant coronary aneurysms: a case report</atitle><jtitle>European heart journal : case reports</jtitle><addtitle>Eur Heart J Case Rep</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>6</volume><issue>3</issue><spage>ytac104</spage><pages>ytac104-</pages><issn>2514-2119</issn><eissn>2514-2119</eissn><abstract>Abstract
Background
Multiple coronary-to-pulmonary artery fistulas (CPAFs) with giant coronary aneurysms (CAs) are extremely rare. The appropriate therapeutic indication and strategy for CPAFs have not been established.
Case summary
Herein, we report the case of an asymptomatic 74-year-old woman with multiple CPAFs associated with giant CAs that had gradually developed over a 4-year period. After heart team discussion, we were successfully treated by minimally invasive intervention using transcatheter coil embolization and coronary stent implantation to prevent ruptures.
Discussion
Coronary-to-pulmonary artery fistulas required evaluation of the appropriate timing of therapy initiation with reference to the presence of symptoms and fistula and aneurysm sizes, and determination of the optimal therapeutic approach with reference to the anatomy of the fistula with aneurysm and patient background characteristics.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>35474680</pmid><doi>10.1093/ehjcr/ytac104</doi><orcidid>https://orcid.org/0000-0002-9362-4300</orcidid><orcidid>https://orcid.org/0000-0003-4563-304X</orcidid><orcidid>https://orcid.org/0000-0001-8863-5737</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European heart journal : case reports, 2022-03, Vol.6 (3), p.ytac104 |
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| source | DOAJ Directory of Open Access Journals; Oxford Journals Open Access Collection; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Aneurysms Care and treatment Case Report Clopidogrel Congenital heart disease Genetic disorders Health aspects Heart diseases Stent (Surgery) Vascular fistula |
| title | Percutaneous coil embolization and stent implantation for multiple coronary-to-pulmonary artery fistulas with giant coronary aneurysms: a case report |
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