Successful transcatheter closure of large coronary artery fistula

2014 ◽  
Vol 14 (5) ◽  
Author(s):  
Ugur Arslantas ◽  
Elnur Alizade ◽  
Mustafa Tabakci ◽  
Selcuk Pala
Keyword(s):  
Coronary Artery ◽  
Transcatheter Closure ◽  
Coronary Artery Fistula ◽  
Large Coronary Artery

scholarly journals Transcatheter closure of a giant coronary artery fistula with patent duct occluder

2006 ◽  
Vol 119 (9) ◽  
pp. 779-781 ◽  
Author(s):  
Tao ZHOU ◽  
Xiang-qian SHEN ◽  
Zhen-fei FANG ◽  
Sheng-hua ZHOU ◽  
Shu-shan QI ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Transcatheter Closure ◽  
Coronary Artery Fistula

Prenatal diagnosis of isolated coronary artery fistulas: progression and outcome in five cases

2015 ◽  
Vol 26 (5) ◽  
pp. 915-920 ◽  
Author(s):  
Gurleen K. Sharland ◽  
Laura Konta ◽  
Shakeel A. Qureshi
Keyword(s):  
Coronary Artery ◽  
Cardiac Failure ◽  
Transcatheter Closure ◽  
Coronary Artery Fistula ◽  
Congestive Cardiac Failure ◽  
Fetal Life ◽  
Circumflex Coronary Artery ◽  
Coronary Artery Fistulas ◽  
The Right

AbstractObjectivesThe aim of this study was to describe the clinical characteristics, progression, treatment, and outcomes in isolated coronary artery fistula cases diagnosed prenatally.MethodsWe carried out a retrospective review of babies diagnosed prenatally with coronary artery fistulas between January, 2000 and December, 2013; five fetuses were included. Echocardiographic features and measurements were noted during pregnancy and after birth. Treatment and outcome were noted.ResultsGestational age at initial diagnosis was between 19 and 22 weeks; four coronary artery fistulas originated from the right and one from the left circumflex coronary artery. Drainage was into the right atrium in four cases and into the left ventricle in one case. There was cardiomegaly in two cases at the initial scan. The size of the fistulas increased during pregnancy in all except one. All prenatal diagnoses were confirmed postnatally. Among all, two patients developed congestive cardiac failure soon after birth and required transcatheter closure of the coronary artery fistula, 5 and 17 days after birth, respectively; three patients remained asymptomatic, and all of them showed progressive dilation of the feeding artery and had closure of the fistula at 20 months, 4 years, and 7 years of age, respectively. During the follow-up period, which ranged 2–14 years, all the patients were alive and well.ConclusionsCoronary artery fistulas can be diagnosed accurately during fetal life. Some babies may develop congestive cardiac failure soon after birth requiring early treatment. Those treated conservatively should be kept under review as intervention may be required later.

Large symptomatic coronary artery fistulas draining to the left heart: transcatheter management

2020 ◽  
pp. 1-3
Author(s):  
Kothandam Sivakumar ◽  
Sangamesh Bawage ◽  
Asish Ranjan Mohakud
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Transcatheter Closure ◽  
Arterial Cannulation ◽  
Left Heart ◽  
Small Children ◽  
Asymptomatic Patients ◽  
Large Coronary Artery ◽  
Coronary Artery Fistulas ◽  
Circuit Formation

Abstract Large coronary artery fistulas draining to the left heart structures causing heart failure are very rare. Interventional closure of such fistulas is limited to isolated reports, often in asymptomatic patients. Technical differences in these interventions include either deep arterial cannulation till their exit or transseptal arteriovenous circuit formation. Transcatheter closure of three large symptomatic fistulas in small children is reported.

Clinical and angiographic follow-up of coronary artery fistula interventions in children: techniques and classification revisited

2014 ◽  
Vol 25 (4) ◽  
pp. 670-680 ◽  
Author(s):  
Bhavesh Thakkar ◽  
Nehal Patel ◽  
Vishal Poptani ◽  
Tarun Madan ◽  
Tarandip Saluja ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Transcatheter Closure ◽  
Coronary Artery Fistula ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Surgical Closure ◽  
Parent Artery Occlusion ◽  
Angiographic Data ◽  
The Right

AbstractBackground: Transcatheter closure of coronary artery fistula has emerged as a safe and effective alternative to surgery. However, follow-up angiographic data after closure of the coronary artery fistula is extremely limited. We report our clinical and angiographic follow-up of children who underwent either transcatheter or surgical closure. Method: Clinical profile, echocardiography parameters, and closure technique were retrospectively reviewed from the hospital charts. Since 2007, 15 children have been intervened and followed up with electrocardiography, echocardiography, and angiography. Results: A total of 15 children (six girls), with mean age of 6.7±5.4 years and weighing 16.3±9.8 kg, underwent successful closure (transcatheter=13, surgical=2) without periprocedural complication. Coronary artery fistula arose from the right (n=7) and left coronary artery (n=8) and drained into the right atrium or the right ventricle. Transcatheter closure was carried out using a duct occluder. Of the patients, two underwent surgical closure of the fistula on a beating heart. At 31.8±18.7 months follow-up, all the children were asymptomatic and had no evidence of myocardial ischaemia or infarction. However, follow-up angiography revealed thrombotic occlusion of fistula with the patent parent coronary artery in those having branch coronary artery fistula, and five of seven patients with parent coronary artery fistula had near-complete occlusion of fistula extending into the native coronary artery. Conclusion: Follow-up angiography revealed a high incidence of parent artery occlusion when the fistula was arising from the native artery and not from one of its branches. Coronary artery fistula intervention of the parent coronary artery fistula always carries the potential risk of ischaemia, unless the distal-most exiting segment is the primary site of occlusion.

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