The online version of this article (doi:10.1186/1752-1947-8-432) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
RG drafted the manuscript. MS contributed to the collecting of data. SO contributed to writing the manuscript. EB contributed to correcting the manuscript. EB contributed to analysis, interpretation of data, the writing of the manuscript and the decision to submit the manuscript for publication. All authors read and approved the final manuscript.
Congenital coronary artery fistula is a rare anomaly that may cause angina, atrial fibrillation, endocarditis, aneurysmal dilation and myocardial infarction. Both spontaneous regression and life-threatening complications have been described. Treatment can be conservative, surgical or more recently through transcatheter closure.
We report the case of a 27-year-old Tunisian man with a large coronary artery fistula from the left anterior descending artery to the right ventricle associated with pulmonary stenosis. This patient underwent a successful transcatheter closure of his coronary artery fistula followed by pulmonary dilatation and had an uneventful recovery after treatment.
Transcatheter closure of a congenital coronary artery fistula is feasible and should be considered in carefully selected patients. Recanalization of the treated coronary fistula can occur, so follow-up angiography or other imaging modality should be performed in these patients.
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