Contemporary Management of Coronary Artery Fistulas Associated With Coronary Artery Aneurysms
Neel Koyawala, Krishna Santosh Vemuri, Amit Hooda · 2026
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Description
Koyawala, Vemuri, and Hooda review the modern handling of coronary artery aneurysms with fistulas in this 2026 editorial. They comment on a case of a ruptured coronary aneurysm needing catheter treatment. The patient also had liver cirrhosis. Abnormal channels, called fistulas, linked a coronary artery to the pulmonary artery. Aneurysms, focal widenings of the artery, occur in under one percent of people.
Up to eighty percent of patients with coronary fistulas also have aneurysms, the authors note, because the high-volume shunting stresses the artery wall. No randomized trials guide treatment, so stable patients usually receive risk-factor control and anti-clotting medication, while intervention is favored for giant, fast-growing, or clot-containing aneurysms. Options range from covered stents and coil blockage to bypass surgery for the most complex anatomy.
Catalog record
| CREATOR | Neel Koyawala, Krishna Santosh Vemuri, Amit Hooda |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 8 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |