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Progressive aneurysmal dilation of coronary arterial fistula after transcatheter closure: successfully treated by a second occlusion device

Published online by Cambridge University Press:  30 July 2014

Worakan Promphan*
Affiliation:
Pediatric Cardiology Unit, Queen Sirikit National Institute of Child Health (QSNICH), College of Medicine, Rangsit University, Bangkok, Thailand
Pimpak Prachasilchai
Affiliation:
Pediatric Cardiology Unit, Queen Sirikit National Institute of Child Health (QSNICH), College of Medicine, Rangsit University, Bangkok, Thailand
Shakeel A. Qureshi
Affiliation:
Department of Paediatric Cardiology, Evelina Children’s Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom
*
Correspondence to: W. Promphan, Pediatric Cardiology Unit, Queen Sirikit National Institute of Child Health (QSNICH), College of Medicine, Rangsit University, 420/8 Rajvithi Road, Phyathai District, 10400 Bangkok, Thailand. Tel./Fax: 662-354-8327; E-mail: wprompha@icloud.com

Abstract

We report on a 6-year-old boy with a huge right coronary artery to the right ventricle fistula, who had previously been treated by device closure at the right ventricular exit point. However, 3 years later, the right coronary artery aneurysm showed progressively dilation and compressed the right ventricle. To prevent further complications related to the aneurysm, the proximal part of the aneurysm was successfully occluded by a vascular plug.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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References

1. Starc, TJ, Bowman, FO, Hordof, AJ. Congestive heart failure in a newborn secondary to coronary artery-left ventricular fistula. Am J Cardiol 1986; 58: 366367.Google Scholar
2. Said, SA. Current characteristics of congenital coronary artery fistulas in adults: a decade of global experience. World J Cardiol 2011; 3: 267277.Google Scholar
3. Bauer, HH, Allmendinger, PD, Flaherty, J, Owlia, D, Rossi, MA, Chen, C. Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade. Ann Thorac Surg 1996; 62: 15211523.Google Scholar
4. Cheung, DL, Au, WK, Cheung, HH, Chiu, CS, Lee, WT. Coronary artery fistulas: long-term results of surgical correction. Ann Thorac Surg 2001; 71: 190195.CrossRefGoogle ScholarPubMed
5. Liberthson, R, Sagar, K, Berkoben, JP, et al. Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation 1979; 59: 849854.Google Scholar
6. Qureshi, SA, Tynan, M. Catheter closure of coronary artery fistulas. J Interv Cardiol 2001; 14: 299307.Google Scholar
7. Gowda, ST, Latson, LA, Kutty, S, Prieto, LR. Intermediate to long-term outcome following congenital coronary artery fistulae closure with focus on thrombus formation. Am J Cardiol 2011; 107: 302308.Google Scholar
8. Gowda, ST, Forbes, TJ, Singh, H, et al. Remodeling and thrombosis following closure of coronary artery fistula with review management: large distal coronary artery fistula – to close or not to close? Catheter Cardiovasc Interv 2013; 82: 132142.Google Scholar
9. Cheng, TO. Management of coronary artery fistulas: percutaneous transcatheter embolization versus surgical closure. Catheter Cardiovasc Interv 1999; 46: 151152.Google Scholar
10. Hiraishi, S, Misawa, H, Horiguchi, Y, et al. Effect of suture closure of coronary artery fistula on aneurysmal coronary artery and myocardial ischemia. Am J Cardiol 1998; 81: 12631267.Google Scholar