Journal of Pediatric Cardiology and Cardiac Surgery

Online ISSN: 2433-1783 Print ISSN: 2433-2720
Japanese Society of Pediatric Cardiology and Cardiac Surgery
Japanese Society of Pediatric Cardiology and Cardiac Surgery Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Journal of Pediatric Cardiology and Cardiac Surgery 7(1): 41-45 (2023)

Case ReportCase Report

Occlusion of a Coronary Artery Fistula Using Amplatzer Vascular Plug II in a 1-Year-Old GirlSecondary Publication

Department of Cardiology, Kanagawa Children’s Medical Center ◇ Kanagawa, Japan

受付日:2021年6月8日Received: June 8, 2021
受理日:2022年8月28日Accepted: August 28, 2022
発行日:2023年3月31日Published: March 31, 2023

We report the first case of catheter closure using Amplatzer vascular plug device for the coronary artery fistula (CAF); draining from the right coronary artery (RCA) into the left ventricle (LV), quite rare pattern among (CAF). A 1-year old girl had a giant right coronary artery-left ventricular fistula. The angiographic computed tomography of coronary artery and the catheter examination showed a dilated RCA from the orifice, feeding the original coronary arteryʼs region and drained into the LV. Catheter treatment was judged as possible from its anatomy. We inserted a guide wire from the right femoral artery (FA) to RCA-LV-aorta, and grabbed it out with a snare catheter from the left FA to make a loop of guide wire. Occlusion tests were performed repeatedly using balloon to avoid ischemia. The optimal device position was selected cautiously and was detached. A few cases of catheter device closure of CAF had been reported in infancy. Because of its technical advance, the transcatheter closure of CAF has low mortality rate, shows rapid recovery, and can be an alternative option to surgical treatment in infant cases.

Key words: coronary artery fistula; transcatheter closure; coronary cameral fistula; Amplatzer™ vascular plug

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