Current approach in the treatment of isolated coronary arterial stenosis associated to arteriovenous coronary fistula
Ascer, E.; Hirschfeld, R.; Pimentel Filho, W.A.; Franken, R.; Schubsky, V.; Fehér, J.
Arquivos Brasileiros de Cardiologia 58(3): 199-201
1992
ISSN/ISBN: 0066-782X PMID: 1340199 Document Number: 404030
Congenital coronary arteriovenous fistulae are commonly associated with complications which include congestive heart failure, bacterial endocarditis, angina pectoris, secondary to "coronary steal" phenomenon and fistula rupture. Conventional treatment of large coronary arteriovenous fistulae is surgical ligation. In this report we describe the data and therapeutic approach of a patient with a severe coronary stenosis in a large diagonal branch in whom PTCA was successfully conducted, while, in this opportunity no embolization of the fistula was performed.