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 journalArticlepeer-review

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

Keywords

  • Amplatzer devices
  • Congenital heart disease
  • Coronary

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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