Transcatheter embolization of recanalized coronary artery fistula with Nit-Occlud device.
Congenital coronary artery fistula is a rare anomaly with varying symptomatology that may be addressed with surgical or interventional closure. Recanalization after complete occlusion of a coronary artery fistula has only been reported after surgical but not after interventional closure. We present a case of coronary artery fistula recanalization after angiographically documented complete transcatheter occlusion with Gianturco coils. The fistula was successfully managed by transcatheter implantation of a Nit-Occlud system, originally designed for interventional closure of patent ductus arteriosus.
Apostolopoulou
Sotiria C
SC
Department of Pediatric Cardiology, Onassis Cardiac Surgery Center, 356 Syngrou Avenue, Athens, GR 176 74, Greece. riapos@hol.gr
Bonou
Pipina
P
Rammos
Spyridon
S
D001159:Arterio-Arterial Fistula / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization; D002675:Child, Preschool; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy*; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000628:therapy; D004452:Echocardiography; D004562:Electrocardiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans