CLOSURE OF CORONARY ARTERY FISTULA AND CORRECTION OF OCCLUDED LEFT CIRCUMFLEX ARTERY WITH COVERED STENT SIMULTANEOUSLY

Abstract

We report a case of closure of coronary artery fistula and opening of total
occlusion of left circumflex artery (LCX) with polytetrafluroethylene (PTFE)
covered stent. In this case report a 50 year old hypertensive and smoker male,
had coronary artery fistula from LCX to pulmonary artery and there was totally
occluded LCX which continued as obtuse marginal branch(OM). The fistula was
closed and LCX opened simultaneously with PTFE covered stent. This successful
experience suggested that covered stent is a feasible and safe alternative to
catheter based devices in the closure of coronary artery fistula. Though long term
evaluation is needed.