Open AccessPercutaneous closure of a fistula from the left circumflex coronary artery to the coronary sinus in an infant
Author(s) -
Yun Bao,
Tianyuan Xiong,
Xiao Li,
Yu Feng
Publication year - 2021
Publication title -
journal of international medical research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.421
H-Index - 57
eISSN - 1473-2300
pISSN - 0300-0605
DOI - 10.1177/03000605211021732
Subject(s) - medicine , coronary sinus , cardiology , fistula , circumflex , artery , right coronary artery , left coronary artery , surgery , coronary angiography , myocardial infarction
Coronary artery fistula is an abnormal direct connection between the coronary artery and any of the four chambers of the heart or great vessels. A fistula from the left circumflex coronary artery to the coronary sinus is a relatively rare situation. We report a case of 12-month-old infant with coronary artery fistula from the left circumflex coronary artery to the coronary sinus that was identified incidentally. The N-terminal pro-brain natriuretic peptide level was elevated. Additionally, the proximal segment of the left circumflex coronary artery was dilated. On the basis of these findings, percutaneous closure of the fistula was performed with a vascular plug. This procedure achieved no residual flow and good hemodynamics were observed during follow-up.