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Coronary artery fistulas, though relatively rare, are the most common hemodynamically significant congenital anomalies of the coronary artery system. Conventional surgical repair has been performed by either ligating the anomalous coronary connection or by direct closing of the Astula's orifice in patients undergoing a cardiopulmonary bypass. More recently, transcatheter embolization of fistulas, either with detachable balloons or coils, has been... |