Stent-assisted coil embolization for closure of coronary artery-to-pulmonary fistula with two giant beaded aneurysms: A rare case report and literature review

Background: Coronary artery-to-pulmonary artery fistula (CPAF) complicated by giant coronary aneurysms is an exceedingly rare anomaly, with limited clinical experience. Case summary: A 77-year-old woman with CPAF and giant aneurysms was diagnosed via multimodal imaging and effectively treated with s...

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Bibliographic Details
Main Authors: Jianglan Li, Zhuo Chen, Liping Xie, Xiaorong Xiao, Yanlin Luo
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:American Heart Journal Plus
Online Access:http://www.sciencedirect.com/science/article/pii/S266660222500093X
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Summary:Background: Coronary artery-to-pulmonary artery fistula (CPAF) complicated by giant coronary aneurysms is an exceedingly rare anomaly, with limited clinical experience. Case summary: A 77-year-old woman with CPAF and giant aneurysms was diagnosed via multimodal imaging and effectively treated with stent-assisted coil embolization, underscoring its value in high-risk patients. Conclusion: A comprehensive review outlines the key aspects of CPAFs with aneurysms and underscores the importance of tailored management. Although rare, CPAF with giant aneurysms poses a significant risk of rupture or ischemia. Timely diagnosis and tailored interventional management can lead to favorable outcomes.
ISSN:2666-6022