Successful transarterial embolization of coronary artery fistula with ruptured aneurysm: A case report. 2019

Masafumi Sakai, and Kensaku Mori, and Sodai Hoshiai, and Shunsuke Kikuchi, and Tomoya Hoshi, and Akira Sato, and Masafumi Ohtani, and Manabu Minami
Department of Diagnostic & Interventional Radiology, University of Tsukuba Hospital, Amakubo 2-1-1, Tsukuba, Ibaraki 305-8576, Japan.

We report a case of a coronary artery fistula (CAF) with ruptured aneurysm treated using transarterial embolization (TAE) alone. The ruptured aneurysm caused cardiac tamponade, and it was isolated by embolizing its afferent and efferent vessels using detachable coils. To our knowledge, this is the first case report of successful TAE for a CAF with ruptured aneurysm. We believe that if the patient condition is stable and the CAF is anatomically simple, TAE can be a less-invasive alternative to surgery.

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