It hurts to swallow! Pseudoachalasia resulting from attempted transcatheter occlusion of a giant congenital coronary artery fistula

Jonathan Le; Roderick C Deano; Amish N Raval

doi:10.1002/ccd.28539

It hurts to swallow! Pseudoachalasia resulting from attempted transcatheter occlusion of a giant congenital coronary artery fistula

Catheter Cardiovasc Interv. 2019 Dec 1;94(7):980-983. doi: 10.1002/ccd.28539. Epub 2019 Oct 14.

Authors

Jonathan Le¹, Roderick C Deano¹, Amish N Raval^{1

2}

Affiliations

¹ Division of Cardiovascular Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
² Department of Biomedical Engineering, University of Wisconsin, Madison, Wisconsin.

PMID: 31609056
DOI: 10.1002/ccd.28539

Abstract

Congenital coronary artery fistula (CAF) is a rare anomaly that can cause heart failure and myocardial ischemia. In recent decades, transcatheter approaches to occlude CAF have emerged as minimally invasive alternatives to surgical ligation. Reported complications with transcatheter CAF occlusion include device embolization and dissection. We report the first case of attempted transcatheter occlusion of a giant CAF that resulted in severe pseudoachalasia.

Keywords: coronary aneurysm; embolization; esophageal achalasia; heart failure.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Arteriovenous Fistula / diagnostic imaging
Arteriovenous Fistula / physiopathology
Arteriovenous Fistula / therapy*
Cardiac Catheterization / adverse effects*
Cardiac Catheterization / instrumentation
Collateral Circulation
Coronary Circulation
Coronary Vessel Anomalies / diagnostic imaging
Coronary Vessel Anomalies / physiopathology
Coronary Vessel Anomalies / therapy*
Embolization, Therapeutic / adverse effects*
Embolization, Therapeutic / instrumentation
Esophageal Achalasia / diagnosis
Esophageal Achalasia / etiology*
Female
Hemolysis
Humans
Severity of Illness Index
Treatment Outcome