Journal of JCIC

Online edition: ISSN 2432–2342
JCIC学会事務局 JCIC学会事務局
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Journal of JCIC 6(2): 30 (2022)

Brief ReportBrief Report

経皮的塞栓治療に難渋した両側先天性冠動脈瘻の一例Struggling transcatheter closure of congenital bilateral coronary arteriovenous fistula

1独立行政法人地域医療推進機構九州病院 小児科Department of Pediatrics, Kyushu Hospital, Japan Community Healthcare Organization ◇ Japan

2佐賀大学医学部附属病院 小児科Department of Pediatrics, Faculty of Medicine, Saga University ◇ Saga, Japan

受付日:2022年3月2日Received: March 2, 2022
受理日:2022年3月7日Accepted: March 7, 2022
発行日:2022年4月30日Published: April 30, 2022

We report a 4-year-old boy with congenital coronary artery fistula (CAF) in whom the coronary artery was unexpectedly shrunk during transcatheter closure. The patient underwent transcatheter closure because of dilated bilateral CAFs. Selective coronary angiography showed that one CAF drained from the right coronary artery (RCA) into the right ventricle (RV) with the maximum diameter of 11.2 mm and the other CAF also drained from the left circumflex artery into the RV with the maximum diameter of 5.4 mm. A 5 Fr-guiding sheath was introduced retrograde from the RV to the RCA, however, could not pass through the narrow part of the orifice. Though we attempted to deploy a 12-mm Amplatzer Vascular Plug-II® (AVP), the device was not appropriately positioned and the RCA was unexpectedly shrunk after several attempts. Alternatively, we applied antegrade approach and could successfully close the CAF using a 12-mm AVPII.

Key words: congenital bilateral coronary arteriovenous fistula; shrinking; percutaneous transcatheter closure

This page was created on 2022-03-17T15:11:29.139+09:00
This page was last modified on 2022-04-25T14:01:00.000+09:00