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Large symptomatic coronary artery fistulas draining to the left heart: transcatheter management

Published online by Cambridge University Press:  16 October 2020

Kothandam Sivakumar*
Affiliation:
Department of Paediatric Cardiology, Madras Medical Mission, Chennai, India
Sangamesh Bawage
Affiliation:
Department of Paediatric Cardiology, Madras Medical Mission, Chennai, India
Asish Ranjan Mohakud
Affiliation:
Department of Paediatric Cardiology, Madras Medical Mission, Chennai, India
*
Author for correspondence: Dr K. Sivakumar, MD DM, Head of Department of Paediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, 4A, Dr J J Nagar, Mogappair, Chennai600037, India. Phone +91 9444449966; Fax: +91 44 26565859. E-mail: drkumarsiva@hotmail.com

Abstract

Large coronary artery fistulas draining to the left heart structures causing heart failure are very rare. Interventional closure of such fistulas is limited to isolated reports, often in asymptomatic patients. Technical differences in these interventions include either deep arterial cannulation till their exit or transseptal arteriovenous circuit formation. Transcatheter closure of three large symptomatic fistulas in small children is reported.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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