Transcatheter embolization of a residual congenital coronary arteriovenous fistula with a detachable balloon; superiority of interventional cardiology?
A ten-year-old girl who presented with a continuous murmur was diagnosed with a right coronary to right ventricular fistula with colored Doppler echocardiography and selective arteriography. She underwent traditional treatment-ligation of the fistula by sternotomy. Afterwards, the systolic component of the murmur persisted and repeat arteriography showed a residual shunt through the fistula, with no change in the diameter of the right coronary artery. We describe the first case in which a residual fistula was treated with a detachable balloon embolization.
Aydoğan
U
U
Department of Pediatrics, Istanbul University Faculty of Medicine, Capa.
Dindar
A
A
Ayhan
Y I
YI
Tanman
B
B
Ertuğrul
T
T
Omeroğlu
R
R
Cantez
T
T
D001164:Arteriovenous Fistula / Q000151:congenital / Q000175:diagnosis / Q000628:therapy*; D002404:Catheterization / Q000379:methods*; D002648:Child; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans