Transcatheter closure of a coronary fistula with an Amplatzer vascular plug: should a retrograde approach be standard?

摘要: Coronary artery fistulae are rare disorders. Only 2 reports in the medical literature discuss use of vascular plugs to occlude coronary fistulae, and same device—the Am-platzer® Vascular Plug—was deployed via different techniques treat those patients. The safety, feasibility, standard approach deployment have yet be established. Herein, we describe case a 15-year-old boy who presented with continuous murmur at left sternal border. patient was diagnosed large fistula that originated from right emptied into atrium. He underwent transcatheter closure fistula. We placed 14-mm Amplatzer® Plug narrowest part fistula, which resulted complete occlusion an excellent outcome. Our retrograde is simple obviates need establish arteriovenous loops or insert additional devices, such as coils. In this report, compare our results previous reports. To knowledge, only 2nd report describes adolescent by Plug.