Comunicaciones breves
Fístulas de arterias coronarias en adultos. Oclusión percutánea mediante coilsPercutaneous occlusion with coils of coronary artery fistulas in adults

https://doi.org/10.1157/13070512Get rights and content

La fístula arterial coronaria es una de las anomalíes congénitas más frecuentes de las arterias coronarias. Las fístulas coronarias suelen ser pequeñas y sin significación clínica, pero las más grandes pueden causar síntomas y llegar a producir complicaciones. Actualmente, se recomienda siempre su cierre temprano percutáneo, reservando la cirugía para las fístulas múltiples o de gran tamaño. Presentamos 4 casos de fístulas coronarias que drenaban en el territorio vascular pulmonar tratadas mediante oclusión percutánea con coils.

Coronary artery fistulas are one of the most common congenital anomalies of the coronary arteries. Most fistulas are small and of no clinical significance, although larger or multiple fistulas can be symptomatic and produce complications. Early percutaneous occlusion is now always recommended, and surgical closure is restricted to use for multiple or large fistulas. Here we report four cases of coronary fistula draining from the coronary arteries to the pulmonary vascular bed, which were treated with percutaneous occlusion by coils.

Bibliografía (19)

There are more references available in the full text version of this article.

Cited by (25)

  • Cardiac-CT with the newest CT scanners: An incoming screening tool for competitive athletes?

    2021, Clinical Imaging
    Citation Excerpt :

    The natural history of CAF is variable, but with time, most lesions progressively enlarge and may lead to natural aneurysms, intimal ulceration, medial degeneration, atherosclerotic deposition, calcification, side-branch obstruction, mural thrombosis, and, rarely, rupture.119,120 Because of this natural progression, closure of all but the smallest fistulous connections is necessary.121–123 Identification of these CAF's with precise information about the type of feeding vessels and its sites of drainage is needed to help drive management.

View all citing articles on Scopus
View full text