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Coil Migration After Endovascular Closure of a Coronary Artery Fistula.

Abstract Coronary artery fistula is a rare congenital anomaly of coronary vessels. Acquired form of coronary artery fistula is very rare and may be due to trauma secondary to surgery or cardiac catheterizations. The incidence of congenital form ranges from 0.1 to 0.2% of all congenital heart diseases. Majority of the fistulae are asymptomatic and diagnosed incidentally. Symptomatic patients may present with shortness of breath, palpitations, chest pain, and fatigue. It is managed with endovascular coiling or surgical closure. We report a case of surgical closure of coronary sinus fistula after failed endovascular coiling.