Percutaneous closure of coronary fistulae using different devices

Two-month baby recently treated with closure of perimembranous interventricular communication with congestive clinical signs in the postoperative period and echocardiographic suspicion of possible right coronary artery-to-right ventricle fistula confirmed on the cardiac computed tomography and cathe...

Full description

Bibliographic Details
Main Authors: Luis Fernández González, Roberto Blanco Mata, Koldobika García San Román, Juan Carlos Astorga Burgo, Aída Acin Labarta, Josune Arriola Meabe
Format: Article
Language:English
Published: Permanyer 2021-05-01
Series:REC: Interventional Cardiology (English Ed.)
Online Access:https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=461
_version_ 1818600992074104832
author Luis Fernández González
Roberto Blanco Mata
Koldobika García San Román
Juan Carlos Astorga Burgo
Aída Acin Labarta
Josune Arriola Meabe
author_facet Luis Fernández González
Roberto Blanco Mata
Koldobika García San Román
Juan Carlos Astorga Burgo
Aída Acin Labarta
Josune Arriola Meabe
author_sort Luis Fernández González
collection DOAJ
description Two-month baby recently treated with closure of perimembranous interventricular communication with congestive clinical signs in the postoperative period and echocardiographic suspicion of possible right coronary artery-to-right ventricle fistula confirmed on the cardiac computed tomography and catheterization with nonselective coronary angiography. Parents' informed consent was obtained for the dissemination of the case. A large coronary fistula—eligible for percutaneous closure—can be seen exiting the right coronary artery marginal branch and entering the right ventricular cavity with great dilatation of the right coronary artery proximal segment (figure 1). A 4-Fr carrier catheter is inserted into the right coronary artery and a guidewire is advanced towards the right ventricle. Assisted by an angioplasty balloon, the carrier catheter is then advanced towards the fistula proximal zone where eventually a 4 × 6 Amplatzer Vascular Plug (AVP4) device (Abbott, United States) is delivered resulting in the total occlusion of the defect with no interference with the distal right coronary artery (figure 2).
first_indexed 2024-12-16T12:44:17Z
format Article
id doaj.art-77ae7f6bdafd4c16bc04b1b2fcf1a034
institution Directory Open Access Journal
issn 2604-7322
language English
last_indexed 2024-12-16T12:44:17Z
publishDate 2021-05-01
publisher Permanyer
record_format Article
series REC: Interventional Cardiology (English Ed.)
spelling doaj.art-77ae7f6bdafd4c16bc04b1b2fcf1a0342022-12-21T22:31:19ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222021-05-013215515610.24875/RECICE.M20000151Percutaneous closure of coronary fistulae using different devicesLuis Fernández González0Roberto Blanco Mata1Koldobika García San Román2Juan Carlos Astorga Burgo3Aída Acin Labarta4Josune Arriola Meabe5Unidad de Cardiología Intervencionista, Hospital Universitario de Cruces, Baracaldo, Vizcaya, SpainUnidad de Cardiología Intervencionista, Hospital Universitario de Cruces, Baracaldo, Vizcaya, SpainUnidad de Cardiología Intervencionista, Hospital Universitario de Cruces, Baracaldo, Vizcaya, SpainUnidad de Cardiología Intervencionista, Hospital Universitario de Cruces, Baracaldo, Vizcaya, SpainUnidad de Cardiología Intervencionista, Hospital Universitario de Cruces, Baracaldo, Vizcaya, SpainUnidad de Cardiología Intervencionista, Hospital Universitario de Cruces, Baracaldo, Vizcaya, SpainTwo-month baby recently treated with closure of perimembranous interventricular communication with congestive clinical signs in the postoperative period and echocardiographic suspicion of possible right coronary artery-to-right ventricle fistula confirmed on the cardiac computed tomography and catheterization with nonselective coronary angiography. Parents' informed consent was obtained for the dissemination of the case. A large coronary fistula—eligible for percutaneous closure—can be seen exiting the right coronary artery marginal branch and entering the right ventricular cavity with great dilatation of the right coronary artery proximal segment (figure 1). A 4-Fr carrier catheter is inserted into the right coronary artery and a guidewire is advanced towards the right ventricle. Assisted by an angioplasty balloon, the carrier catheter is then advanced towards the fistula proximal zone where eventually a 4 × 6 Amplatzer Vascular Plug (AVP4) device (Abbott, United States) is delivered resulting in the total occlusion of the defect with no interference with the distal right coronary artery (figure 2).https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=461
spellingShingle Luis Fernández González
Roberto Blanco Mata
Koldobika García San Román
Juan Carlos Astorga Burgo
Aída Acin Labarta
Josune Arriola Meabe
Percutaneous closure of coronary fistulae using different devices
REC: Interventional Cardiology (English Ed.)
title Percutaneous closure of coronary fistulae using different devices
title_full Percutaneous closure of coronary fistulae using different devices
title_fullStr Percutaneous closure of coronary fistulae using different devices
title_full_unstemmed Percutaneous closure of coronary fistulae using different devices
title_short Percutaneous closure of coronary fistulae using different devices
title_sort percutaneous closure of coronary fistulae using different devices
url https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=461
work_keys_str_mv AT luisfernandezgonzalez percutaneousclosureofcoronaryfistulaeusingdifferentdevices
AT robertoblancomata percutaneousclosureofcoronaryfistulaeusingdifferentdevices
AT koldobikagarciasanroman percutaneousclosureofcoronaryfistulaeusingdifferentdevices
AT juancarlosastorgaburgo percutaneousclosureofcoronaryfistulaeusingdifferentdevices
AT aidaacinlabarta percutaneousclosureofcoronaryfistulaeusingdifferentdevices
AT josunearriolameabe percutaneousclosureofcoronaryfistulaeusingdifferentdevices