Percutaneous closure of a giant coronary arteriovenous fistula using multiple devices in a 12-day-old neonate.
Coronary arteriovenous fistulas (CAVFs) are uncommon in children and are rarely reported in neonates. Larger fistulas usually require either surgical closure or percutaneous closure using a variety of different devices. Device closure of large fistulas in the immediate neonatal period has not been reported. We report the first case of a gigantic CAVF in a 12-day-old neonate (2.4 kg) where successful device closure was achieved in a staged approach using a 12 mm Amplatzer muscular VSD device, seven flipper coils, a 10/8 mm Amplatzer duct occluder device, as well as a 9 mm Gianturco Grifka vascular occlusion device. No complications were encountered and the patient was subsequently weaned off the ventilator.
D001158:Arteries / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000151:congenital / Q000175:diagnosis / Q000628:therapy; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000628:therapy*; D004452:Echocardiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design / Q000295:instrumentation; D005260:Female; D006352:Heart Ventricles / Q000002:abnormalities / Q000000981:diagnostic imaging; D006801:Humans; D007231:Infant, Newborn