Affiliation:
1. Department of Cardiology, The First People’s Hospital of Changde City, Changde, China
Abstract
Background Through a case of atrial fibrillation (AF) combined with coronary artery fistula, a one-stop interventional operation treatment of “AF radiofrequency ablation + left atrial appendage closure (LAAC) + coronary artery fistula (CAF) embolization” was performed. We have checked the relevant literature, and there is no similar report, which may help clinicians deal with similar situations. Case presentation The patient had a 6-year history of paroxysmal AF, and had experienced negative effects of the drug treatment. She had suffered many years of repeated hemoptysis due to bronchiectasis, and could not tolerate anticoagulation therapy. After in-depth clinical discussion, a one-stop interventional operation including AF radiofrequency ablation, LAAC, and CAF embolization, was formulated according to the patient’s situation. The patient recovered and was discharged smoothly. Conclusions In patients with AF combined with coronary artery-bronchial artery fistula, a one-stop interventional operation treatment of “AF radiofrequency ablation + LAAC+ CAF embolization” was performed. It can effectively improve the anticoagulation-worsened haemoptysis in patients with AF.
Funder
Hunan Provincial Innovation Platform and Talent Program Clinical Medical Research Center
Subject
Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Safety Research,Radiology, Nuclear Medicine and imaging,General Medicine