ArticleJACC. Case reports2026
Ruptured Coronary Aneurysm With Coronary-Pulmonary Artery Fistulas in Advanced Cirrhosis Treated With Coil Embolization.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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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Who cites it
1 citing paper in PubMed.
- Contemporary Management of Coronary Artery Fistulas Associated With Coronary Artery Aneurysms.JACC. Case reports · 2026Article
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9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRupture of a coronary aneurysm (CA) associated with a coronary-pulmonary artery fistula (CPAF) is rare, and optimal management remains unclear. Patients with advanced cirrhosis have a high surgical risk. CASE SUMMARY: A 72-year-old woman with Child-Pugh class C cirrhosis presented with sudden chest pain. Contrast-enhanced computed tomography revealed rupture of a CA arising from bilateral CPAFs. Given the high surgical risk, transcatheter treatment was selected. Although occlusion of both inflow and outflow vessels was attempted, the outflow vessel was not accessible. After careful hemodynamic evaluation, only the main inflow vessel was embolized, achieving effective hemostasis and decompression. No re-rupture or recanalization occurred, and complete thrombosis was confirmed 3 months later. DISCUSSION: CA associated with CPAF is rare and lacks established management strategies. This case highlights that inflow vessel occlusion alone may achieve life-saving hemostasis in emergency settings. TAKE-HOME MESSAGE: In patients with ruptured CA associated with CPAFs, inflow vessel embolization may provide effective hemostasis.
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