Coronary Artery-Left Ventricle Fistula Complicating Balloon Angioplasty

Abstract

The authors describe a coronary artery fistula complicated balloon angioplasty. The proximal left anterior descending coronary artery was dilated, but a septal branch was occluded by thrombus. Angioplasty was used on the septal branch, but a pseudoaneurysm communicating with the left ventricle occurred. Follow-up angiography revealed spontaneous closure of the fistula.

Fistula between right coronary artery vein graft and right atrium as an immediate complication of percutaneous coronary intervention

“…In the majority of previously reported cases the extravasations of contrast material with clearing into one of the ventricles was noticed on angiographic images shortly after balloon inflation [11–16], which was consistent with our observation. However in the report of Meng and Harlana[17], large false aneurysm was seen immediately after vessel dilatation, but on repeat coronary angiography performed 6 hr later, a left anterior descending coronary artery to right ventricle fistula related to false aneurysm rupture was observed.…”

A Clinically Silent Case of Prominent Thebesian System: Diagonal Branch of Left Anterior Descending Coronary Artery to Left Ventricular Communication

“…[2][3][4][5][6] In case of combinedhypoplasia of the coronary sinus and some of the cardiac veins, the abnormality is also described to drain the major coronary venous blood. 7) It has been hypothesized that CALVF most likely represents partial persistence of the network of Thebesian veins that provide blood supply to the subendocardial regions of the myocardium during embryogenesis and are usually obliterated in normal development.…”