title: Novel use of an Amplatzer Vascular Occluder II to close an acquired fistula between a reconstructed aortic arch and the left atrial appendage in a patient with hypoplastic left heart syndrome.
abstract: An 8-month-old female with hypoplastic left heart syndrome had undergone bidirectional cavopulmonary anastomosis at the age of 4.5 months and presented with a new continuous flow murmur on routine follow-up. Diagnostic catheterization demonstrated a fistula between the left atrial appendage and the neo-aortic arch. The fistula was sealed with an Amplatzer Vascular Occluder II device without complications.
authors.affiliation: Division of Pediatric Cardiology, Arkansas Children's Hospital, Little Rock, AR, USA. kjbielefeld@uams.edu
authors.forename: Kyle J
authors.initials: KJ
authors.lastname: Bielefeld
authors.forename: Paul M
authors.initials: PM
authors.lastname: Seib
authors.forename: Eudice E
authors.initials: EE
authors.lastname: Fontenot
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001027:Aortography; D020517:Atrial Appendage; D006328:Cardiac Catheterization / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D018729:Fontan Procedure / Q000009:adverse effects*; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D007223:Infant; D015641:Radiography, Interventional; D016896:Treatment Outcome