Large Coronary-pulmonary Artery Fistulae. Percutaneous Embolization with Microcoils and Disposable Balloons

had multiple coronary-pulmonary artery fistulae with high out-put; percutaneous embolization was successfully performed using controlled-release microcoils and disposable balloons. Coronary fistulae are communications between these arteries and the cardiac cavities or other mediastinal vessels; frequently, they are alterations in embryo development 1. Several fistulae ari-sing from both coronaries and ending in the pulmonary artery, such as in our patient’s case, are rare clinical entities 2. Fistulae with marked hemodynamic repercussions leading to symptoms of heart failure and thoracic pain are, classically, treated with surgery 3; however, catheter occlusion is currently increasing in frequency 4-8. Case Report A 43-year-old woman was referred to the hospital because of frequent episodes of palpitations and exercise-related dyspnea, with symptoms progressing in recent years. Specific clinical exa