ABSTRACT
Coronary artery fistulas (CAF) are defined as a direct communication between a coronary artery and any cardiac chamber or vessel. They are generally congenital and the majority occurs in the right coronary artery (RCA) al- most always draining to the right cavities and exact incidence of CAF is unknown. The treatment options for CAF are surgery or catheter closure. Catheter closure of the CAF is now considered to be an effective and safe method alternative to surgery. We report the first case with coil migration and coronary dissection to occur si- multaneously in the same patient and successful treatment of these two complications with stent implantation.a
Coronary artery fistulas (CAF) are defined as a direct communication between a coronary artery and any cardiac chamber or vessel. They are generally congenital and the majority occurs in the right coronary artery (RCA) al- most always draining to the right cavities and exact incidence of CAF is unknown. The treatment options for CAF are surgery or catheter closure. Catheter closure of the CAF is now considered to be an effective and safe method alternative to surgery. We report the first case with coil migration and coronary dissection to occur si- multaneously in the same patient and successful treatment of these two complications with stent implantation.