Successful transcatheter coil embolization of coronary artery to left ventricular fistula associated with absent pulmonary valve with tricuspid atresia in early infancy.
Transcatheter coil embolization for coronary artery to left ventricular fistula was successfully performed in a neonate. At 30 weeks' gestation, fetal echocardiography showed a hypoplastic right ventricle with intact ventricular septum, absent pulmonary valve, tricuspid atresia, and marked distension of the right coronary artery. After birth, the neonate had congestive heart failure and the electrocardiogram showed myocardial ischemic changes in the left ventricular area. Aortography showed a dilated right coronary artery arising from the ascending aorta and draining into the left ventricle. Transcatheter coil embolization was carried out on the 9th day after birth. Since the procedure, no myocardial ischemic changes have been detected. Transcatheter coil embolization is a useful therapy for coronary artery fistula associated with myocardial ischemia.
Inamura
Noboru
N
Department of Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, Murodo-cho, Izumi, Osaka, Japan. inamura@mch.pref.osaka.jp
Nakajima
Tohru
T
Kayatani
Futoshi
F
Kawata
Hiroaki
H
D000328:Adult; D001027:Aortography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004452:Echocardiography; D004562:Electrocardiography; D004621:Embolization, Therapeutic / Q000295:instrumentation; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis; D005402:Fistula / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006333:Heart Failure / Q000209:etiology; D006352:Heart Ventricles; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology; D011664:Pulmonary Valve / Q000002:abnormalities*; D018785:Tricuspid Atresia / Q000150:complications*; D016216:Ultrasonography, Prenatal; D016157:Vascular Fistula / Q000628:therapy