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Transcatheter closure of a giant coronary artery fistula with patent duct occluder

Transcatheter closure of a giant coronary artery fistula with patent duct occluder

作     者:ZHOU Tao SHEN Xiang-qian FANG Zhen-fei ZHOU Sheng-hua QI Shu-shan Lü Xiao-ling 

作者机构:Department of Cardiology Second Xiangya Hospital Central South University Changsha 410011 China 

出 版 物:《Chinese Medical Journal》 (中华医学杂志(英文版))

年 卷 期:2006年第119卷第9期

页      面:779-781页

核心收录:

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:coronary artery fistula patent duct occluder transcatheter closure 

摘      要:Coronary artery fistula (CAF), an uncommon form of congenital heart disease, is characterized by abnormal communication between a coronary artery and a cardiac chamber or vessel. This disease is often found incidentally in asymptomatic individuals, and leads to cardiac failure, myocardial ischemia and angina, infective endocarditis, and heart rupture in later life. Both surgical repair and transcatheter closure were effective and safe in the treatment of CAF, but percutaneous management of CAF can obviate median sternotomy and cardiopulmonary bypass, and there may be less morbidity with transcatheter embolization techniques, including the use of occluders or microcoils. We report a successful percutaneous closure of a giant CAF from the left coronary artery to the right ventricle using patent duct occluder.

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