Transcatheter Closure of a Coronary Artery Fistula in a Neonate with Tetralogy of Fallot

Abstract

Coronary artery-to-pulmonary artery stulae (CAPF) are a not uncommon nding in patients with Tetralogy of Fallot (TOF) and collateral dependent pulmonary blood ow. Management for these stulae is often primary surgical ligation or unifocalization at the time of complete repair, dependent on the presence of dual blood ow to the involved areas. We present the case of a 32-week premature boy weighing 1.79 kg with TOF, con uent branch pulmonary arteries, major aortopulmonary collaterals and right coronary artery to main pulmonary artery stula. The patient demonstrated evidence of coronary