Coronary artery fistula: To close or not close, that is the question

Coronary artery fistula: To close or not close, that is the question

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Prognosis in subjects with coronary artery fistula (CAF) is highly variable.CAF may remain asymptomatic throughout the entire lifetime in Swimming Shoes some; however, in others, CAF may become hemodynamically significant and complications ensue.CAF closure, either surgically or via a transcatheter approach, eliminates the underlying anatomical anomaly but is associated with a variety of complications, including but not limited to coronary thrombosis and even full-blown myocardial infarction.

In Deck Cushion this review, we summarize the evidence that argued for versus against CAF closure and attempt to provide a balanced view of the benefits versus harm of CAF closure in patients with different types of CAF.