Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-24T00:05:03.689Z Has data issue: false hasContentIssue false

Successful occlusion of a coronary arteriovenous fistula using an Amplatzer™ duct occluder

Published online by Cambridge University Press:  01 July 2011

Masood Sadiq*
Affiliation:
Department of Paediatric Cardiology, Punjab Institute of Cardiology, Lahore, Pakistan
James L Wilkinson
Affiliation:
Royal Children's Hospital, Melbourne, Australia
Shakeel A Qureshi
Affiliation:
Guy's Hospital, London, U.K.
*
Correspondence to: Dr Masood Sadiq, Assistant Professor, The Institute of Child Health/The Children's Hospital, Consultant paediatric Cardiologist, Punjab Institute of Cardiology, Ghaus-ul-Azam (Jail) Road, Lahore, Pakistan. Tel: 92 42 5 167392 Fax: 92 42 7565904; E-mail: [email protected]

Abstract

In an 11-year old boy with a large coronary arteriovenous fistula between the left coronary artery and the right atrium, we achieved successful closure using a 10–8 Amplatzer Duct Occluder introduced from the right internal jugular vein. Angiography 6 weeks later showed complete occlusion of the fistula, with normal opacification of the left coronary arterial system. This technique may be used as an alternative to coils and surgery in selected patients.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Liberthson, RR, Sagar, K, Berkoben, JP, Weintraub, RM, Levine, FH: Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation 1979; 59:849.Google Scholar
2.Lin, FC, Chang, HJ, Chern, MS, Wen, MS, Yeh, SJ, Wu, D: Multiplane transesophageal echocardiography in the diagnosis of congenital coronary artery fistula. Am Heart J 1995; 130(6): 1236–44.Google Scholar
3.Roithmaier, A, Lorenz, HP, Meisner, H, Sauer, U, Muller, KD, Sebening, F, Buhlemeyer, K: Congenital coronary artery fistula in infancy and childhood: diagnostic and therapeutic aspects. Thorac Cardiovasc Surg 1997; 45(6): 287–94.Google Scholar
4.Mavroudis, C, Backer, CL, Rocchini, AP, Muster, AJ, Gevitz, M: Coronary artery fistulas in infants and children a surgical review and discussion of coil embolization. Ann Thorac Surg 1997; 63(5): 1235–42.CrossRefGoogle ScholarPubMed
5.Skimming, JW, Gessner, IH, Victorica, BE. Mickle, JP: Percutaneous transcatheter occlusion of coronary artery fistula using detachable balloons. Pediatr Cardiol 1995; 16(1): 3841.Google Scholar
6.Reidy, JF, Anjos, RT, Qureshi, SA, Baker, EJ, Tynan, MJ. Transcatheter embolization in the treatment of coronary artery fistulas, Journal of the American College of Cardiology, 1991; 18:187–92.Google Scholar
7.Reidy, JF, Tynan, MJ, Qureshi, S: Embolization of a complex coronary arteriovenous fistula in a 6 year old child: The need for specialised embolisation techniques. Br Heart J 1990;63:246248.CrossRefGoogle Scholar
8.Shirai, K, Ogawa, M, Kawaguchi, H, Kawano, T, Nakashima, Y, Arakawa, K: Acute myocardial infarction due to thrombus formation in congenital coronary artery fistula. European Heart Journal, 1994; 15:577–9CrossRefGoogle ScholarPubMed
9.Masura, J, Walsh, KP, Thanoupolous, B, Chan, C, Bass, J, Goussous, Y, Garvora, P, Hijazi, ZM: Catheter closure of moderate-large sized patent ductus arteriosus using the new Amplatzer duct occluder: Immediate and short-term results. J Am Coll Cardiol 1998;31:878882.Google Scholar
10.Hakim, F, Madani, A, Goussous, Y, Cao, QL, Hijazi, ZM. Transcatheter closure of a large coronary arteriovenous fistula using the new Amplatzer duct occluder. Catheterizarion and Cardiovascular Diagnosis 1998; 45:155157.Google Scholar