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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Frontiers Media S.A.
2022-08-01
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Series: | Frontiers in Cardiovascular Medicine |
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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. |
first_indexed | 2024-04-13T11:08:46Z |
format | Article |
id | doaj.art-4afbbfb828004a16b39b9d9dac8d11f2 |
institution | Directory Open Access Journal |
issn | 2297-055X |
language | English |
last_indexed | 2024-04-13T11:08:46Z |
publishDate | 2022-08-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Cardiovascular Medicine |
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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