Case report: Transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infant

Congenital coronary artery fistulas (CAFs) are an uncommon congenital anomaly. While most patients are asymptomatic, life-threatening events including sudden death, myocardial ischemia, heart failure, infective endocarditis, and rupture of aneurysm may occur. Surgical ligation was once the standard...

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Main Authors: Yen-Hsien Wu, Yi-Ching Liu, Min-Fang Chao, Zen-Kong Dai, I-Chen Chen, Shih-Hsing Lo, Jong-Hau Hsu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.898914/full
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author Yen-Hsien Wu
Yi-Ching Liu
Min-Fang Chao
Zen-Kong Dai
Zen-Kong Dai
I-Chen Chen
I-Chen Chen
Shih-Hsing Lo
Jong-Hau Hsu
Jong-Hau Hsu
author_facet Yen-Hsien Wu
Yi-Ching Liu
Min-Fang Chao
Zen-Kong Dai
Zen-Kong Dai
I-Chen Chen
I-Chen Chen
Shih-Hsing Lo
Jong-Hau Hsu
Jong-Hau Hsu
author_sort Yen-Hsien Wu
collection DOAJ
description Congenital coronary artery fistulas (CAFs) are an uncommon congenital anomaly. While most patients are asymptomatic, life-threatening events including sudden death, myocardial ischemia, heart failure, infective endocarditis, and rupture of aneurysm may occur. Surgical ligation was once the standard choice of management of CAFs in the past. However, transcatheter closure of CAFs has become an emerging alternative to surgery in patients with suitable anatomy. We reported a 7-month-old infant with a giant and tortuous CAF that originated from the distal right coronary artery and drained into the right ventricle, and was successfully treated by transcatheter closure with an Amplatzer ductus occluder.
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spelling doaj.art-4afbbfb828004a16b39b9d9dac8d11f22022-12-22T02:49:12ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-08-01910.3389/fcvm.2022.898914898914Case report: Transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infantYen-Hsien Wu0Yi-Ching Liu1Min-Fang Chao2Zen-Kong Dai3Zen-Kong Dai4I-Chen Chen5I-Chen Chen6Shih-Hsing Lo7Jong-Hau Hsu8Jong-Hau Hsu9Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanCongenital coronary artery fistulas (CAFs) are an uncommon congenital anomaly. While most patients are asymptomatic, life-threatening events including sudden death, myocardial ischemia, heart failure, infective endocarditis, and rupture of aneurysm may occur. Surgical ligation was once the standard choice of management of CAFs in the past. However, transcatheter closure of CAFs has become an emerging alternative to surgery in patients with suitable anatomy. We reported a 7-month-old infant with a giant and tortuous CAF that originated from the distal right coronary artery and drained into the right ventricle, and was successfully treated by transcatheter closure with an Amplatzer ductus occluder.https://www.frontiersin.org/articles/10.3389/fcvm.2022.898914/fullcoronary artery fistula (CAF)transcatheter closure (TCC)ADO IIpediatric (infant)right ventricle (RV)
spellingShingle Yen-Hsien Wu
Yi-Ching Liu
Min-Fang Chao
Zen-Kong Dai
Zen-Kong Dai
I-Chen Chen
I-Chen Chen
Shih-Hsing Lo
Jong-Hau Hsu
Jong-Hau Hsu
Case report: Transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infant
Frontiers in Cardiovascular Medicine
coronary artery fistula (CAF)
transcatheter closure (TCC)
ADO II
pediatric (infant)
right ventricle (RV)
title Case report: Transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infant
title_full Case report: Transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infant
title_fullStr Case report: Transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infant
title_full_unstemmed Case report: Transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infant
title_short Case report: Transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infant
title_sort case report transcatheter closure of a giant and tortuous right coronary artery to right ventricle fistula in an infant
topic coronary artery fistula (CAF)
transcatheter closure (TCC)
ADO II
pediatric (infant)
right ventricle (RV)
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.898914/full
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