ArticleJACC. Case reports2025
Transcatheter Closure of Left Circumflex Coronary Artery to Coronary Sinus Fistula.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
10 authors.
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Abstract
backgroundCoronary artery fistula is a rare condition with variable presentations. Although traditionally managed surgically, percutaneous intervention is a viable option for high-risk patients. CASE SUMMARY: We report the case of a 65-year-old man with reduced left ventricular ejection fraction (25%) due to a left circumflex artery to coronary sinus fistula. He underwent successful percutaneous coil embolization using 3-dimensional-shaped platinum-based bare-metal coils. DISCUSSION: We present an alternative treatment in a high surgical risk patient with a distal left circumflex artery to coronary sinus fistula, a common phenotype for this rare condition. Despite elevated myocardial infarction risk due to distal location and potential side branch occlusion, percutaneous closure was successful. Overall, percutaneous approaches offer high success rates and low recurrence, highlighting the importance of a heart team in individualized management. TAKE-HOME MESSAGE: Three-dimensional-shaped platinum-based bare-metal coils show promise, but their off-label use highlights the need for standardized protocols and long-term outcome data.
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