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Spontaneous resolution of iatrogenic coronary artery to right ventricular fistula secondary to percutaneous coronary intervention |
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| Authors: | QIU Xing-biao LIU Lan HOU Xu-min HAN Wen-zheng YE Ying DAI Jin-jie SHI Hong-yu FANG Wei-yi |
| Affiliation: | QIU Xing-biao (Department of Cardiology,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)； LIU Lan (Department of Cardiovascular Surgery,Shanghai Institute of Cardiovascular Disease,Zhongshan Hospital,Fudan University,Shanghai 200032,China)； HOU Xu-min (Department of Cardiology,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)； HAN Wen-zheng (Department of Cardiology,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)； YE Ying (Department of Cardiology,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)； DAI Jin-jie (Department of Cardiology,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)； SHI Hong-yu (Department of Cardiology,Shanghai Chest Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)； |
| Abstract: | Iatrogenic coronary artery fistula (ICAF) is a rare complication and could happen during endomyocardial biopsy,open heart surgery or percutaneous coronary intervention.The treatment of ICAF is not well established and is dependent upon the patient's haemodynamic situation.Here we report a case of spontaneous resolution of ICAF during such angioplasty.Following repeated exertion and associated chest pain in May 2011,a man aged 52 years with hypertension was referred for coronary angiography,which revealed a 90％stenosis in the proximal segment of left anterior descending coronary artery and a 75％ diffuse,tortuous stenosis in the proximal to middle segment of right coronary artery (Figure 1). |
| Keywords: | coronary arteryperforation iatrogenic coronary arteryfistula percutaneous coronary intervention |
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