Transcatheter Coil Embolization of Coronary Artery Fistula

A 46-year-old man was admitted with chief complaint of chest pain and fatigue on exertion for the last 2 years. Physical examination was normal. Thransthoracic echocardiography showed mild right ventricular dilatation and ejection fraction of 50%. Coronary angiogram (CAG) was done that revealed significant lesion at mid part of left anterior descending artery (LAD) and a fistula arising from the mid part of LAD artery communicating with main pulmonary artery. Transcatheter coil embolism was successfully performed. The patient was free of symptoms during 12 months follow up.