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

Abstract

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.