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Neonatal transcatheter occlusion of a large coronary artery fistula with Amplatzer duct occluder
Author(s) -
Khan Mohammad D.,
Qureshi Shakeel A.,
Rosenthal Eric,
Sharland Gurleen K.
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10623
Subject(s) - medicine , fistula , cardiology , thrombus , artery , occlusion , right coronary artery , shunt (medical) , surgery , radiology , coronary angiography , myocardial infarction
A large fistula from the right coronary artery to the right atrium was diagnosed in a fetus at 22 weeks of gestation. Following delivery, the baby developed cardiac failure. The fistula was occluded at 3 weeks of age by transcatheter implantation of an Amplatzer duct occluder. Large coronary fistulas can be closed safely with a device even at this early age. Vigilance for ischemic events is required following implantation because of the rare possibility of thrombus extension proximally into the native coronary artery or spasm of the coronary artery. Catheter Cardiovasc Interv 2003;60:282–286. © 2003 Wiley‐Liss, Inc.