Long-term results of arteriovenous fistula endovascular disconnection by coronary venous sinus stenting (case report)

• Semitko S.P.
• Akhramovich R.V.
• Azarov A.V.
• Kamolov I.Kh.
• Gyulmisaryan K.V.
• Chernysheva I.E.
• Bayandin N.L.
• Ioseliani D.G.

Abstract

A coronary artery fistula is an abnormal connection between one of the coronary arteries and a heart chamber or another blood vessel of the pulmonary or systemic circulation, with the formation of left-to-left or left-to-right shunt, bypassing the myocardial capillary bed. We herein describe a rare clinical case of a young man presenting with acute myocardial infarction caused by posttraumatic coronary artery arteriovenous fistula thrombosis. Treatment consisted in successful endovascular disconnection of the pathological arteriovenous junction by an original author method, i. e., implantation of a self-expanding antithrombotic stent CASPER from the side of the fistula venous collector (coronary sinus). This case demonstrates present-day opportunities of endovascular methods of diagnosis and treatment of coronary artery fistulas.

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Semitko S.P., Analeev A.I.; data collection and handling – Akhramovich R.V., Analeev A.I., Kamolov I.Kh., Gyulmisaryan K.V.; draft manuscript preparation – Semitko S.P., Chernysheva I.E., Akhramovich R.V.; manuscript revision – Ioseliani D.G., Bayandin N.L., Chernysheva I.E.

For citation: Semitko S.P., Akhramovich R.V., Analeev A.I., Kamolov I.Kh., Gyulmisaryan K.V., Chernysheva I.E., Bayandin N.L., Ioseliani D.G. Long-term results of arteriovenous fistula endovascular disconnection by coronary venous sinus stenting (case report). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2024; 30 (1): 94–102. DOI: https://doi.org/10.33029/1027-6661-2024-30-1-94-102

Keywords:acute myocardial infarction; posttraumatic arteriovenous fistula; CASPER self-expanding antithrombotic stent