Closure of coronary arterial fistula by covered stent graft during multivessel percutaneous coronary intervention: a case report

Abstract

Coronary arterial fistulae are usually incidental during coronary angiography. We report a case of triple vessel disease treated by multivessel percutaneous coronary intervention using drug-eluting stents (DES) and associated coronary arterial fistula to pulmonary artery with covered stent graft. In this case the coronary fistula from right coronary artery (RCA) was opened during dilatation of the obstructive coronary lesion. RCA had significant coronary lesions in the proximal and distal coronary, mid left anterior descending coronary artery and left circumflex artery, which are revascularized with DES. This patient had coronary arterial fistula arising from right coronary and left main coronary artery. Here, the patient was symptomatic because of the obstructive coronary artery disease.