Virtual Conference
Heart Congress

Helena Correia

Hospital de Santa Maria – Centro Hospitalar Universitario Lisboa Norte, Portugal

Title: Coronary artery fistula – A case report


Coronary artery fistulas are commonly congenital, although some acquired forms from trauma have been reported. Large fistulas can also manifest as coronary steal syndrome cause ischemic symptoms. The incidence of coronary-to-bronchial artery fistulas is low (approximately 0,5%). Chest pain is the most common presentation, however, hemoptysis as initial symptom is not infrequent, which was our patient presentation. A 72-years-old male with hypertension, dyslipidemia, a former smoker with previous percutaneous coronary intervention of the left anterior descending artery, with preserved left ventricular ejection fraction, with two independent fistulas, one from the proximal right coronary and the second one from the circumflex artery, that we decided to close by percutaneous embolization with coils. Forty minutes after the embolization, the fistulas were closed. In selected cases, the fistulas percutaneous approach can be an option, although the complications are not very well established. Until now, however, there is no consensus on optimal strategy for the management of these patients due to lack of controlled trials or official guidelines.


Helena Correia completed her clinical physiologist course at the age of 21 years from Lisbon School of Health Technology, Portugal. After being working on the invasive cardiology since that time, in 2015 completed her master degree in diagnostic and cardiovascular intervention technology at the Faculty of Medicine, University of Lisbon. With multiple presentations on her country and worldwide, Helena integrates the clinical research team, as an investigator of the Association for Research and Development of the Faculty of Medicine, being nowadays part of multiple studies.