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Case Reports
. 2022 Jun 15;4(12):715-718.
doi: 10.1016/j.jaccas.2022.03.022.

Percutaneous Coil Embolization of Coronary Artery Fistula Complicated by Refractory Ventricular Fibrillation and Cardiogenic Shock

Ahmad Akhtar  1 , Malcolm T Foster 3rd  2 , Yasir Akhtar  2
Affiliations
Case Reports

Percutaneous Coil Embolization of Coronary Artery Fistula Complicated by Refractory Ventricular Fibrillation and Cardiogenic Shock

Ahmad Akhtar et al. JACC Case Rep. .

Abstract

We present a case of a 56-year-old patient with a symptomatic right coronary artery to pulmonary artery fistula who underwent coil embolization. Post-procedure, the patient developed ventricular fibrillation that was refractory to antiarrhythmic medications and numerous attempts at defibrillation. (Level of Difficulty: Intermediate.).

Keywords: CAF, coronary artery fistula; CPR, cardiopulmonary resuscitation; LV, left ventricular; RCA, right coronary artery; RVF, refractory ventricular fibrillation; VF, ventricular fibrillation; defibrillation; embolization; fistula; right coronary artery; ventricular fibrillation.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Coronary Angiogram of the Right Coronary Artery Left anterior oblique view, right coronary artery to pulmonary artery fistula marked by asterisk.
Figure 2
Figure 2
Coil Deployment (A) Left anterior oblique view, deployment of coils. (B) Left anterior oblique view, closure of the right coronary artery conus branch to pulmonary artery fistula with a coil.
Figure 3
Figure 3
Insertion of Heart Pump Device
See this image and copyright information in PMC

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