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How to treat the combination of coronary artery fistula and occluded coronary artery: A case report.

Abstract Coronary artery fistulae (CAF) are uncommon and are reported in 0.25% of patients undergoing routine coronary angiography. The combination of severe coronary artery disease and a CAF was rare.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29620668
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20180425
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 14
DP  - 2018 Apr
TI  - How to treat the combination of coronary artery fistula and occluded coronary
      artery: A case report.
PG  - e0363
LID - 10.1097/MD.0000000000010363 [doi]
AB  - RATIONALE: Coronary artery fistulae (CAF) are uncommon and are reported in 0.25% 
      of patients undergoing routine coronary angiography. The combination of severe
      coronary artery disease and a CAF was rare. PATIENT CONCERNS: A 76-year-old man
      presented unstable angina. DIAGNOSES: Coronary angiography showed a subtotal
      occlusion lesion and a CAF at left anterior descending artery. INTERVENTIONS: The
      combination of transcatheter coil embolization and a drug-eluting stent was used 
      for this problem. OUTCOMES: The patient was symptom-free and had regularly
      followed up as an outpatient for three years. LESSONS: The combination of a CAF
      and atherosclerotic change in the same site of the coronary artery is unique. It 
      is feasible to solve the combination of CAF and severe coronary atherosclerotic
      lesion by transcatheter coil embolization and stent implantation. A big case
      series study is necessary to evaluate the safety and efficacy of the technique of
      transcatheter coil embolization and stent implantation in the patients with
      severe coronary atherosclerotic lesion and a CAF.
FAU - Lee, Wei-Chieh
AU  - Lee WC
FAU - Fang, Hsiu-Yu
AU  - Fang HY
FAU - Wu, Chiung-Jen
AU  - Wu CJ
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Angina, Unstable/*etiology
MH  - Coronary Angiography
MH  - Coronary Artery Disease/complications/*therapy
MH  - Coronary Occlusion/complications/*therapy
MH  - Drug-Eluting Stents
MH  - Embolization, Therapeutic/instrumentation/*methods
MH  - Humans
MH  - Male
MH  - Vascular Fistula/complications/*therapy
PMC - PMC5902290
EDAT- 2018/04/06 06:00
MHDA- 2018/04/17 06:00
CRDT- 2018/04/06 06:00
PHST- 2018/04/06 06:00 [entrez]
PHST- 2018/04/06 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
AID - 10.1097/MD.0000000000010363 [doi]
AID - 00005792-201804060-00046 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Apr;97(14):e0363. doi: 10.1097/MD.0000000000010363.