Successful transcatheter closure of coronary artery fistula in a child with single coronary artery: a heavy load and a long road.
Single coronary artery is an uncommon variation of the coronary circulation. After transposition of great arteries, coronary artery fistulas are the most common associated cardiac anomalies in these patients. Transcatheter closure of coronary artery fistula (CAF) involving single coronary artery is a challenging intervention. In the absence of contralateral coronary artery, a complex anatomy of the CAF and a large myocardial perfusion territory of the dominant circulation pose an additional risk during interventional procedure. We report our experience of a successful transcatheter closure of a coronary artery fistula in a patient with single coronary artery.
Department of Pediatric Cardiology, U N Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Gujarat University, Asarwa, Ahmedabad, 380016, Gujarat, India.
Manjunath
M
Phasalkar
Bhavesh
B
Thakkar
Vishal
V
Poptani
D006328:Cardiac Catheterization; D002675:Child, Preschool; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D005402:Fistula / Q000151:congenital / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome