J Transcat Intervent.2022;30:eA20210004.
Treatment of post-endomyocardial biopsy fistula between left anterior descending artery and right ventricle with coils
Mauricio Felippi de Sá Marchi
, Gabriel Kanhouche
, Luiz Junya Kajita
DOI: 10.31160/JOTCI202230A20220004
A 69-year-old patient with history of heart transplant in 2018 due to Chaga’s disease underwent a 2-years control myocardial perfusion imaging scintigraphy, which demonstrated minor stress-induced apical ischemia. He was asymptomatic, and his last endomyocardial biopsy was 2 years ago, with no history of graft rejection.
After the scintigraphy finding of ischemia, a coronary angiography was performed, which displayed a fistula between the left anterior descending artery and right ventricle with subsequent coronary occlusion (). This is a rare complication of endomyocardial biopsy.
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