Transcutaneous closure of a huge multilocular coronary to right atrium fistula causing severe right side heart failure: A case report

In conclusion, transcatheter closure of an isolated enormous multiloculated CAF is feasible and relatively safe. Surgery should be reserved for CAF with failed percutaneous closure.<Learning objective: Coronary artery fistula (CAF) is a congenital connection between a coronary artery and cardiac chambers, or a vessel bypassing a capillary system. Closure of CAF is indicated for symptomatic patients or asymptomatic patients with huge fistulas. Transcatheter closure approaches are considered an alternative to surgical correction with proven efficacy and safety, with similar morbidity and mortality. Surgery should be reserved for CAF with failed percutaneous closure.>
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research