Document Detail


Percutaneous treatment of iatrogenic left-anterior descending artery to right ventricle fistula.
MedLine Citation:
PMID:  20552653     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Iatrogenic coronary fistula is a rare condition whose treatment strategy is not well established. We report the case of a 70-year-old patient who came to our attention with echocardiographic and scintigraphic signs of myocardial ischemia and who had undergone heart transplantation 10 years earlier. The coronary angiogram showed a coronary fistula connecting the left-anterior descending artery to the right ventricle via an enlarged septal branch. Because of the presence of myocardial ischemia, the patient was scheduled for percutaneous coronary intervention. The fistula was sealed with implant of two polytetrafluoroethylene (PTFE)-covered stents that excluded the septal branch. One-year follow-up showed persistence of the good result in terms of angiographic and clinical outcome.
Authors:
Jacopo A Oreglia; Giuseppe Bruschi; Silvio Klugmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  76     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  975-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Wiley-Liss, Inc.
Affiliation:
Interventional Cardiology Department, Niguarda Hospital, Milan, Italy. jaoreglia@gmail.com
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