Complex Interventions in the Adult with Congenital Heart Disease

Singh, Harsimran; Nagy, Christian; Wan, Andrea; Osten, Mark; Benson, Lee; Horlick, Eric

doi:10.1016/j.iccl.2012.09.010

Cited by 4 publications

(1 citation statement)

References 70 publications

(95 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In comparing CAF symptoms between adults and children, children more often have abnormal murmur and associated defects and rarely have CAF aneurysms and coronary artery disease. Symptoms are more likely to develop with advancing age, although treating asymptomatic CAF patients still poses management difficulties [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Coil Embolization of Single Coronary Artery Fistula Using the Occlusion Test

Takahashi

Takizawa

Nakano

et al. 2018

Case Reports in Cardiology

View full text Add to dashboard Cite

The case of a patient in whom hemodynamic and electrocardiographic studies using the occlusion test for coronary artery fistulas (CAF) were safely performed prior to catheter embolization is reported. A 1-year-old girl had a separate right coronary artery arising from a left single coronary artery that formed a significant coronary artery fistula to the right ventricle. Coronary steal by the large coronary artery fistula narrowed the left coronary artery. The right coronary artery branches could not be clearly identified due to an overlap with the fistula. Due to the long porous CAF, embolic procedures could cause serious complications. We confirmed the safety by performing an occlusion test of the CAF's proximal blood vessels. Following total occlusion of the CAF for 10 minutes, pulmonary arterial pressure and aortic blood pressure were not significantly changed. No bradycardia, atrioventricular block, or ST changes were observed. Coil embolization treatment was performed safely. For patients with long distal CAF complicated with a single coronary artery, myocardial ischemia and conduction system disorders can be identified by performing the occlusion test before embolization.

show abstract

Section: Discussionmentioning

confidence: 99%