Percutaneous closure of a giant coronary arteriovenous fistula using multiple devices in a 12-day-old neonate

Ralf Holzer, B. Rush Waller, Madelyn Kahana, Ziyad M. Hijazi

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Coronary arteriovenous fistulas (CAVFs) are uncommon in children and are rarely reported in neonates. Larger fistulas usually require either surgical closure or percutaneous closure using a variety of different devices. Device closure of large fistulas in the immediate neonatal period has not been reported. We report the first case of a gigantic CAVF in a 12-day-old neonate (2.4 kg) where successful device closure was achieved in a staged approach using a 12 mm Amplatzer muscular VSD device, seven flipper coils, a 10/8 mm Amplatzer duct occluder device, as well as a 9 mm Gianturco Grifka vascular occlusion device. No complications were encountered and the patient was subsequently weaned off the ventilator.

Original languageEnglish (US)
Pages (from-to)291-294
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume60
Issue number2
DOIs
StatePublished - Oct 1 2003

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Keywords

  • Amplatzer devices
  • Congenital heart disease
  • Coronary

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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