Percutaneous Closure of a Diagonal Artery to Pulmonary Artery Fistula.

Authors

Luai Madanat, Corewell Health East Fellow
Robert D. Safian, Corewell Health East
Marina Maraskine, Corewell Health East Fellow
Adam Tawney, Corewell Health East
Justin Trivax, Corewell Health East

Document Type

Article

Publication Date

6-4-2025

Publication Title

JACC. Case reports

Abstract

Coronary artery fistulas are uncommon anomalies that are typically asymptomatic and incidentally identified through coronary angiography or computed tomographic angiography. In this clinical vignette, we report a symptomatic patient with exertional angina and anterior ischemia on exercise stress testing. Coronary angiography revealed a fistula between the proximal diagonal artery and the main pulmonary artery. Coronary computed tomographic angiography provided precise anatomical detail, facilitating procedural planning. The patient underwent successful coil embolization of the fistula, resulting in complete resolution of angina.

Volume

30

Issue

13

First Page

103521

Recommended Citation

Madanat L, Safian RD, Maraskine M, Tawney A, Trivax J. Percutaneous closure of a diagonal artery to pulmonary artery fistula. JACC Case Rep. 2025 Jun 4;30(13):103521. doi: 10.1016/j.jaccas.2025.103521. PMID: 40480745

DOI

10.1016/j.jaccas.2025.103521

ISSN

2666-0849

PubMed ID

40480745