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Transcatheter closure of coronary artery fistula in children

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Chinese Medical Journal 2010年第7期123卷 822-826页

作者： XU Liang XU Zhong-ying JIANG Shi-liang ZHENG Hong ZHAO Shi-hua LING Jian ZHANG Ge-jun WU Wen-hui LI Shi-guo HU Hai-bo Department of Radiology Peking Union Medical College Chinese Academy of Medical Sciences Cardiovascular Institute & Fu Wai Hospital Beijing 100037 China

Background Transcatheter closure of coronary artery fistula （CAF） has emerged as a successful alternative to surgery. We described our experiences in 10 children patients who were accepted for transcatheter closure of CAF. Methods Ten children were 3-10 years old （seven males） with CAF who underwent percutaneous transcatheter closure between October 1995 and April 2008. Sites of origin of these fistulas were： right coronary artery in seven, left anterior descending coronary artery in two, and left circumflex coronary artery in one patient. Drainage sites of these fistulas were： right atrium in seven, right ventricle in two and left ventricle in one patient. All of these fistulas were congenital and had only one orificium *** A Cook coil was used in four patients and an Amplatzer patent ductus arteriosus （PDA） occluder was used in six patients. Checking the angiogram after the procedure revealed complete occlusion in nine patients （90%） and minimal residual flow in one （10%） patient. Technical success was achieved in all patients. Follow-up studies at short term showed complete abolition of shunt in all patients with no evidence of recanalization leading to recurrence of shunt. Conclusions Transcatheter therapy using either Cook coil or Amplatzer PDA occluder is suggested to be a safe and effective method of occlusion. The midterm outcome of the intervention for CAF is satisfactory.

关键词： coronary artery fistula transcatheter occlusion Cook coil Amplatzer patent ductus arteriosus occluder

Assessment　of　Right　coronary　artery　fistula　by　Multiplane　Transesophageal　Echocardiography

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Journal of Huazhong University of Science and Technology(Medical Sciences) 1996年第3期16卷 186-189页

作者：杨娅王新房李治安

coronary artery fistula(CAF) is a relatively uncommon cardiovascular disease. It is an abnormal communication between a coronary artery and a cardiac chamber, great vessels, or other vascular structures. Most are congenital. Multiplane transesophageal echocardiography(multiplane TEE. MTEE) can reveal the proximal dilation, the course and the drainage site of CAF. Presented in this paper was a report of right coronary artery-left ventricle fistula , for the first time,right coronary-left ventricle fistula diagnosed by MTEE and confirmed by angiography.

关键词： coronary artery fistula multiplane transesophageal echocardiography

Left coronary artery fistula Identified by Color Doppler Flow Imaging

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Journal of Huazhong University of Science and Technology(Medical Sciences) 1995年第3期15卷 176-177页

作者：杨娅李治安王新房邓又兵 Department of Echocardiography Xiehe Hospital Tongji Medical University Wuhan

coronary artery fistula (CAF) is an abnormal communication between a coronary artery and a cardiac chamber, great vessel,or other vascular structures. The presence of the fistula is usually identified by angiography. In this paper, the diagnosis of left coronary artery-right ventricle fistula was made by color Doppler before angiography? and it was confirmed by *** Doppler flow imaging is a noninvasive method which can reveal the proximal dilatation, the course and the draining site of CAF.

关键词： coronary artery fistula color Doppler flow imaging

Bilateral coronary-pulmonary artery fistula with paroxysmal atrial arrhythmia:a case report

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Life Research 2022年第2期5卷 28-31页

作者： Tuo Han Li-Xia Wang Yi-Wen Wang Zhen-Zhen Liu Yan-Chao Hu Cong-Xia Wang Department of Cardiology the Second Affiliated Hospital of Xi'an Jiaotong UniversityXi’anChina

coronary-pulmonary artery fistula(CPAF)is a relatively rare type of congenital coronary artery variation,which is mostly asymptomatic and is discovered incidentally by coronary artery CT imaging or ***,CPAF can cause a phenomenon of inter-artery steal and hemodynamic disorders,leading to myocardial ischemia,arrhythmia,heart failure,syncope and even cardiac sudden death in severe *** we reported a case of a 53-year-old female who complained of intermittent palpitations and had a history of paroxysmal atrial *** coronary angiography revealed bilateral coronary artery fistulae to pulmonary *** this case,the multiple fistulas were very rare and *** treatment should be considered,including cardiologists,surgeons,anesthesiologists and nurses,*** follow-up is essential for long-term disease management after diagnosis or surgery.

关键词： coronary artery fistula pulmonary fistula coronary steal atrial arrhythmia

A Rare Case of Transcatheter Closure of Both Inlet and Outlet of a Left coronary artery-to-Left Ventricular fistula with Giant coronary artery Aneurysm

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Congenital Heart Disease 2022年第5期17卷 541-549页

作者： Yifan Li Zewen Chen Jian Zhuang Zhiwei Zhang Department of Pediatric Cardiology Guangdong Cardiovascular InstituteGuangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangdong Provincial Key Laboratory of South China Structural Heart DiseaseGuangzhouChina Department of Cardiac Surgery Guangdong Cardiovascular InstituteGuangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangdong Provincial Key Laboratory of South China Structural Heart DiseaseGuangzhouChina

A congenital coronary artery fistula(CCAF)combined with giant coronary aneurysm(CAA)is a rare congenital cardiac *** reported an 8-year-old patient who underwent transcatheter closure of both inlet and outlet of a proximal left coronary artery(LCA)-to-left ventricular(LV)fistula with CAA of 41 mm×28 mm in diameter,during which acute occlusion of left anterior descending coronary artery(LAD)occurred immediately after device implantation at the inlet of *** managed to prevent the patient from major adverse cardiac events by conservative therapy with dual antiplatelet agents instead of surgical removal of the *** patient recovered well and had been follow-up for 2 years with no late complications reported.

关键词： coronary artery fistula aneurysm transcatheter closure

Transcatheter Closure of Congenital coronary artery fistulas with a Giant coronary artery Aneurysm in Children： Experiences from a Single Center

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Chinese Medical Journal 2017年第16期130卷 1919-1925页

作者： Yi-Fan Li Zhi-Wei Zhang Shu-Shui Wang Zhao-Feng Xie Yu-Fen Li Department of Pediatric Cardiology Guangdong Cardiovascular Institute Guangdong General Hospital Guangdong Academy of Medical Sciences Guangzhou Guangdong 510100 China

Background： Transcatheter closure of congenital coronary artery fistulas （CCAFs） is an alternative therapy to surgery; however, data regarding transcatheter closure for CCAF with a giant coronary artery aneurysm （CAA） in pediatric patients are still limited due to the rarity of the disease. We aimed to evaluate the efficacy and safety of transcatheter closure for CCAF with a giant CAA in a pediatric population at a single center. Methods： Medical records of pediatric patients （〈 18 years old） who underwent transcatheter closure of CCAF with a giant CAA between April 2007 and September 2016 at Guangdong Cardiovascular Institute （Guangdong, China） were reviewed. Results： Twelve patients （median age, 6.1 years; range, 1.9-11.0 years） underwent successful transcatheter closure procedures. One patient underwent closure at both the entry and exit points of the CAA, three patients underwent closure at the exit point of the CAA, and eight patients underwent closure at the entry point of the CAA. After a mean follow-up of 7.2 years （range, 0.5-9.8 years）, one patient （with closure at the exit point of the CAA） underwent transcatheter re-intervention because of a significant residual shunt. She eventually underwent a surgical procedure due to aneurysm dilation after the second intervention. One patient experienced thrombus formation within the CAA after the procedure. Among those with closure at the entry point of the CAA, a mild-to-moderate residual shunt was detected in three patients. Conclusions： Transcatheter closure appears to be a safe and effective alternative therapy for CCAF with a giant CAA in the pediatric population. Closure at the entry point of the CAA, and closure at both the entry and exit points when feasible, may reduce the risk of postinterventional complications.

关键词： Aneurysm Congenital Heart Disease coronary artery fistula Pediatric Percutaneous Closure

Circumflex coronary artery fistulae Draining into Right Atrium: A Case Report

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World Journal of Cardiovascular Diseases 2023年第4期13卷 220-227页

作者： Vakhtang Khelashvili Iuri Fkhkadze Nona Grdzelishvili Tengiz Shiryaev Omar Gogia Congenital Heart Disease Department The Jo Ann University Hospital European University Tbilisi Georgia

coronary artery fistula (CAF) is an anomaly making a coronary artery communicate with a heart cavity or a great vessel, thus bypassing the myocardial capillary bed. CAF is frequently diagnosed as an incidental finding. Herein, we present the case of a 4-year-old boy. He was referred for a pediatric cardiology assessment due to a continuous murmur at the middle sternal border. Echocardiogram showed dilated left coronary artery and an abnormal diastolic flow in the right atrium. The right-sided chambers were slightly enlarged, but ventricular contractility was normal. CAF was suspected. Angiography and CT confirmed the diagnosis of coronary fistula from the circumflex coronary artery to the right atrium. Successful transcatheter closure with an Amplatzer PiccoloOccluder was performed with complete occlusion.

关键词： coronary artery fistula Circumflex coronary artery Congenital Heart Disease

Confluence at distal end of multiple coronary artery fistulae： two cases treated with interventional approach

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Chinese Medical Journal 2008年第5期121卷 475-477页

作者： SHEN Xiang-qian HU Xin-qun LI Jiang ZHOU Tao FANG Zhen-fei ZHOU Sheng-hua TANG Jian-jun QI Shu-shan LU Xiao-ling Department of Cardiology Second Xiangya Hospital Central South University Changsha Hunan 410011 China

coronary artery fistula （CAF）, an uncommon congenital heart disease, often results in myocardial ischemia. In the last two decades, there are some reports about interventional treatment of CAF,4-6 but few on transcatheter treatment of multiple CAFs. With different interventional procedures, we treated successfully two cases of percutaneous closure of two multiple CAFs which were confluent at the distal ends.

关键词： coronary artery fistula multiple transcatheter closure

Transcatheter coil embolization of multiple coronary artery-to-left ventricle fistulas： report of a rare case

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Chinese Medical Journal 2008年第14期121卷 1342-1344页

作者： LI Ruo-gu FANG Wei-yi SHI Hong-yu QU Xin-kai CHEN Hui QIU Xin-biao XU Ying-jia DONG Jia-lin GUAN Shao-feng JIANG Bei WU Wei-hua Department of Cardiology Shanghai Chest Hospital Affiliated to Shanghai Jiao Tong University Shanghai 200030 China Department of -Echocardiogram Shanghai Chest Hospital Affiliated to Shanghai Jiao Tong University Shanghai 200030 China

coronary artery fistula （CAF） is uncommon but remains the most frequent hemodynamically significant congenital coronary artery *** majority of fistula is single and drains into the right heart, only 3.5% into the left ventricle.^2 A large fistula requires closure to prevent complications such as myocardial ischemia resulting from coronary steal, congestive heart failure, endocarditis and potential aneurysmal dilatation and rupture.^3-5 Here we presented a rare case of CAF with multiple origins involving left anterior descending artery （LAD）, left circumflex branch （LCX） and right coronary artery （RCA）, and draining into the left ventricle, which was successfully closed by coil embolization.

关键词： coronary artery fistula transcatheter coil embolization