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Stent-assisted coil embolization for closure of coronary artery-to-pulmonary fistula with two giant beaded aneurysms: A rare case report and literature review.

作者信息

Li Jianglan, Chen Zhuo, Xie Liping, Xiao Xiaorong, Luo Yanlin

机构信息

Ultrasound Department, Shaoyang Central Hospital, Hunan Province 422000, China.

Echocardiography Medical Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

出版信息

Am Heart J Plus. 2025 Aug 13;58:100590. doi: 10.1016/j.ahjo.2025.100590. eCollection 2025 Oct.

Abstract

BACKGROUND

Coronary artery-to-pulmonary artery fistula (CPAF) complicated by giant coronary aneurysms is an exceedingly rare anomaly, with limited clinical experience.

CASE SUMMARY

A 77-year-old woman with CPAF and giant aneurysms was diagnosed via multimodal imaging and effectively treated with stent-assisted coil embolization, underscoring its value in high-risk patients.

CONCLUSION

A comprehensive review outlines the key aspects of CPAFs with aneurysms and underscores the importance of tailored management. Although rare, CPAF with giant aneurysms poses a significant risk of rupture or ischemia. Timely diagnosis and tailored interventional management can lead to favorable outcomes.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38aa/12447422/9bfb9fc044c7/gr1.jpg

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