Case Report: Coronary-Pulmonary Fistula Closure by Percutaneous Approach: Learning From Mistakes.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_5741F042DD80
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Case Report: Coronary-Pulmonary Fistula Closure by Percutaneous Approach: Learning From Mistakes.
Journal
Frontiers in cardiovascular medicine
Author(s)
Rubimbura V., Girod G., Delabays A., Meier D., Rotzinger D.C., Muller O., Qanadli S.D., Eeckhout É.
ISSN
2297-055X (Print)
ISSN-L
2297-055X
Publication state
Published
Issued date
2021
Peer-reviewed
Oui
Volume
8
Pages
779716
Language
english
Notes
Publication types: Case Reports
Publication Status: epublish
Abstract
Coronary-pulmonary artery fistulas (CPAF) are congenital vascular anomalies detected incidentally in most cases. When a significant left-right shunt exists, surgical, or percutaneous treatment is indicated. We describe a challenging case of CPAF closure, by percutaneous approach, in a patient symptomatic for dyspnea and evidence of a significant left-right shunt. A first attempt to close the fistula was performed implanting a vascular plug but it quickly embolized. The plug was successfully retrieved. In a second attempt, we deployed several coils before implanting the vascular plug with total closure of the fistula. The combination of plugs and coils is associated with a higher success rate of closure.
Keywords
congenital heart, dyspnea, fistula (coronary artery), percutaneous coronary intervention, shunt
Pubmed
Web of science
Open Access
Yes
Create date
12/02/2022 10:20
Last modification date
20/02/2022 7:35
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