Transcatheter occlusion of a large coronary artery fistula using a patent ductus arteriosus occluder.
A large fistula from the left coronary artery to the right ventricle was successfully closed percutaneously in a 40 year-old patient using a patent ductus arteriosus occluder. The device was positioned and deployed via the venous system using a guidewire that had been advanced via the aorta, coronary artery and fistula to the venous circulation (arterio-venous loop creation). No complications were reported at follow-up.
Department of Congenital Heart Diseases and Paediatric Cardiology, Silesian Centre for Heart Diseases, Silesian Medical University, Zabrze, Poland. jabi_med@poczta.onet.pl
Jacek
J
Białkowski
Małgorzata
M
Szkutnik
Roland
R
Fiszer
Marian
M
Zembala
D000328:Adult; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D055989:Septal Occluder Device; D060205:Therapeutic Occlusion / Q000295:instrumentation* / Q000379:methods; D016157:Vascular Fistula / Q000175:diagnosis / Q000628:therapy*