|
|||||
|
|
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 |
|
| Authors: | Yifan Li Zewen Chen Jian Zhuang Zhiwei Zhang |
| Affiliation: | 1.Department of Pediatric Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, GuangdongAcademy of Medical Sciences, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, China2Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, GuangdongAcademy of Medical Sciences, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, China |
| Abstract: | A congenital coronary artery fistula (CCAF) combined with giant coronary aneurysm (CAA) is a rare congenitalcardiac abnormality. We reported an 8-year-old patient who underwent transcatheter closure of both inlet andoutlet of a proximal left coronary artery (LCA)-to-left ventricular (LV) fistula with CAA of 41 mm × 28 mmin diameter, during which acute occlusion of left anterior descending coronary artery (LAD) occurred immediately after device implantation at the inlet of fistula. We managed to prevent the patient from major adverse cardiac events by conservative therapy with dual antiplatelet agents instead of surgical removal of the device. Thepatient recovered well and had been follow-up for 2 years with no late complications reported. |
| Keywords: | Coronary artery fistula aneurysm transcatheter closure |
| 点击此处可从《Congenital heart disease》浏览原始摘要信息 | |
| 点击此处可从《Congenital heart disease》下载全文 | |