Double congenital abnormalities of left anterior descending artery: a technical modification for closing wide neck of aneurysm and fistulae—a case report

Some case studies and centre experiences recommend interventional closure using cover stents, vascular plugs, and coil embolization techniques for symptomatic fistulae and those resulting in complications. Despite these recommendations, determining the best treatment strategy remains challenging due to the lack of clear guidelines. The novel modified technic consisted of two nested stents and coil embolization to close the aneurysm and fistula and prevent secondary complications due to myocardial infarction.