Percutaneous management of coronary artery-to-pulmonary artery fistula using an amplatzer vascular plug with the trans-radial approach

Congenital coronary artery fistulas (CAFs) are rare and asymptomatic, although symptomatic CAFs should be treated with percutaneous intervention or surgery. A 62-year-old woman developed bilateral coronary-topulmonary artery fistulas resulting in exertional chest pain. We herein report the successful use of transcatheter closure of a coronary artery-to-pulmonary artery fistula, which lead to the coronary steal phenomenon, using an Amplatzer vascular plug with the trans-radial approach. After the procedure, the patient remained asymptomatic.