Transcatheter closure of aortocaval fistula with the amplatzer duct occluder.
OBJECTIVE
To report percutaneous closure of aortocaval fistulas with the Amplatzer Duct Occluder.


METHODS
An aortocaval fistula was diagnosed after surgical repair of an abdominal aortic aneurysm in a 73-year-old man. A 3-year-old girl was treated for a congenital aortocaval fistula in another case. An 8 x 6-mm Amplatzer Duct Occluder was introduced via a 6-F introducer in each case, successfully occluding the fistulous track. Both patients are well and without any echocardiographic evidence of a shunt at 6 months.


CONCLUSIONS
In selected patients, transcatheter closure of aortocaval fistula with the Amplatzer Duct Occluder could be an alternative to open surgery. Further evaluation is necessary.
Godart
François
F
Service des Maladies Cardiovasculaires Infantiles et Congénitales, Hôpital Cardiologique, 59037 Lille, France. f-godart@chru-lille.fr
Haulon
Stéphan
S
Houmany
Mohamed
M
Francart
Charles
C
Brevière
Georges-Marie
GM
Rey
Christian
C
Koussa
Mohamad
M
D000368:Aged; D001012:Aorta, Abdominal / Q000002:abnormalities*; D001027:Aortography / Q000379:methods; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D021721:Balloon Occlusion / Q000295:instrumentation* / Q000379:methods; D002675:Child, Preschool; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000002:abnormalities*