Successful closure for a case of congenital coronary artery fistula using a patent ductus arteriosus occluder

Zhao, Gang; Jin, Heng; Wu, Hongping

doi:10.1017/s104795111000137x

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…This implant has several advantages over other devices used to close CAFs including a high rate of complete occlusion and relatively easy implantation. On the other hand, the experience presented here, as well as by others [6, 7], indicates that Chinese devices, very similar to ADO, also fulfill these requirements. The choice of the device and technique for percutaneous closure of coronary artery fistula depends on anatomical characteristics of the fistula.…”

Section: Discussionsupporting

confidence: 76%

Large coronary artery fistula and patent ductus arteriosus: transcatheter closure with three PDA nitinol wire mesh occluders

Białkowski

Szkutnik

Zhang

et al. 2013

pwki

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Coronary artery fistulas (CAF) are the most common congenital anomaly of this vessel. We present the case of a 26-year-old man with two coexisting congenital cardiac defects: patent ductus arteriosus (PDA) and CAF. The patient 3 months earlier had the transcatheter PDA closed (type A, diameter 4 mm) with a 10/8 mm PDA nitinol wire mesh occluder. After the procedure he continued to have symptoms of fatigue and continuous murmur in the precordial region persisted. In angio-CT a large coronary fistula from the circumflex coronary artery with suspicion of multiple orifices to the right atrium was found. An arteriovenous wire loop was created (guidewire introduced from the aorta through the CAF was snared using a lasso catheter in the superior vena cava and exteriorized through the right femoral vein). Retrogradely an 8 F long sheath and delivery system was introduced to the end of the fistula and a 12/10 mm Cardio-O-Fix PDA occluder (Starway Comp, China, Beijing) was implanted, closing one orifice of the CAF. Another leak (orifice of CAF – 3.5 mm diameter) was closed using a similar technique with a 10/8 mm PDA Cardio-O-Fix device. Complete closure of the coronary artery fistula and disappearance of the heart murmur were observed after the procedure. The patient was discharged home 4 days later on acetylsalicylic acid 150 mg/day. During 6 months of follow-up he was doing well without any complaints or pathological symptoms. In control angio-CT performed 3 months after the procedure complete closure of the CAF was confirmed.

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Section: Discussionsupporting

confidence: 76%

Large coronary artery fistula and patent ductus arteriosus: transcatheter closure with three PDA nitinol wire mesh occluders

Białkowski

Szkutnik

Zhang

et al. 2013

pwki

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“…After occlusion of the distal fistulous connection, complete thrombosis of the coronary artery fistula occurs. 8 In our case, we declined an interventional approach, and surgical repair was performed: first, because the anomalous vessel draining into the right ventricle was very difficult to cannulate due to the extreme tortuosity; second, and most importantly, because of the presence of a single coronary artery.…”

Section: Discussionmentioning

confidence: 92%

Single coronary artery–right ventricular fistula

2011

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We report a rare case of a male child aged 4 years and 5 months who was diagnosed with a coronary artery fistula and left single coronary artery. Pre-operative evaluation with echocardiography and selective angiography showed a dilated and tortuous single coronary artery draining into the right ventricular outflow tract. The coronary fistula was ligated. The post-operative and clinical courses were uneventful.

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“…It is even thought that transcatheter occlusion of CAF should be the preferred therapy . Most of the literature on transcatheter closure of CAF in children and adolescents, however, consists of case reports and reports of small series . The overall experience of transcatheter closure in young patients is not extensive.…”

mentioning

confidence: 99%

“…6 Most of the literature on transcatheter closure of CAF in children and adolescents, however, consists of case reports and reports of small series. [7][8][9] The overall experience of transcatheter closure in young patients is not extensive. Thus, we present here our experience of transcatheter closure of CAF in children and adolescents using various devices.…”

mentioning

confidence: 99%