Transcatheter closure of a left circumflex coronary artery fistula in two children using the Amplatzer vascular plug.
A left circumflex coronary artery fistula (CAF) is a rare anomaly. This report describes two young children with progressive left coronary artery dilation due to left CAF demonstrated by serial echocardiography. Cardiac catheterization performed for both children confirmed the presence of a markedly tortuous and dilated left circumflex artery, with the CAF draining directly into the right ventricle. Transcatheter closure of the CAF using the Amplatzer vascular plug was successfully accomplished without any complications. A good outcome was achieved. The echocardiography at the 12- and 18-month follow-up visits showed reversion of the coronary artery to normal size.
Liang
Chi-Di
CD
Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Niao Sung Hsiang, Kaohsiung County, Taiwan. cdliang@adm.cgmh.org.tw
Ko
Sheung-Fat
SF
Lin
Ying-Jui
YJ
Fang
Chih Yuan
CY
D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000000981:diagnostic imaging / Q000628:therapy*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007231:Infant, Newborn