Transcatheter Closure of a Huge Congenital Coronary-Cameral Fistula With Amplatzer Occluder

Mostafa Behjati-Ardakani; Mohammad Amin  Behjati-Ardakani; Seyed Reza Mirjalili; Mohammadtaghi Sarebanhassanabadi

doi:10.18502/acta.v61i11.16083

Mostafa Behjati-Ardakani Yazd Cardiovascular Research Center, Non-Communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mohammad Amin Behjati-Ardakani Yazd Cardiovascular Research Center, Non-Communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Seyed Reza Mirjalili Yazd Cardiovascular Research Center, Non-Communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Mohammadtaghi Sarebanhassanabadi Yazd Cardiovascular Research Center, Non-Communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/acta.v61i11.16083

Keywords: Huge coronary artery fistula; Trans catheter closure

Abstract

Congenital coronary-cameral fistula is an abnormal connection between coronary arteries and a cardiac chamber. Although trans-catheter closure appears to be a safe alternative to surgical treatment but there is an imprecision about modality of choice. We describe a huge left coronary artery fistula to the right ventricle, found in an 8-year-old girl with dyspnea on exertion and chest pain. She was treated with an Amplatzer duct occluder. After procedure, echocardiography revealed, complete closure of fistula orifice and the girl remained completely asymptomatic during 48 months follow-up period. This study demonstrated that Amplatzer duct occluder might be a useful and safe armamentarium for coronary-cameral fistula treatment. Nevertheless, further experience and long-term follow-up studies are required to guarantee our results.