title: Peratrial Device Closure of a Congenital Coronary Artery Fistula through a Right Parasternal Approach: Innovative Use of Available Technology.
abstract: Current treatments for congenital coronary artery fistulas (CAFs) include surgical obliteration and transcatheter occlusion. However, surgical techniques involve significant trauma. Transcatheter occlusion is performed under fluoroscopy and angiography, in which radiation injury is inevitable. We present a patient, with a CAF from the left coronary artery to the right atrium, who underwent peratrial device closure of the CAF with a right parasternal approach under transesophageal echocardiography guidance. Complete occlusion was achieved by a symmetric ventricular septal occluder. We suggest that peratrial device closure of a congenital coronary artery fistula through a right parasternal approach may be a safe and effective option.
authors.affiliation: Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors.forename: Yanting
authors.initials: Y
authors.lastname: Jia
authors.affiliation: Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors.forename: Li
authors.initials: L
authors.lastname: Hongxin
authors.affiliation: Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors.forename: Guo
authors.initials: G
authors.lastname: Wenbin
authors.affiliation: Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors.forename: Haizhou
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
authors.forename: Chengwei
authors.initials: C
authors.lastname: Zou
mesh_terms: D001709:Biotechnology / Q000295:instrumentation; D002675:Child, Preschool; D003324:Coronary Artery Disease / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation* / Q000379:methods*; D019616:Thoracic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome; D065506:Vascular Closure Devices; D016157:Vascular Fistula / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*