Skip to main content
NCBI home page
British Heart Journal logoLink to British Heart Journal
. 1990 Apr;63(4):246–248. doi: 10.1136/hrt.63.4.246

Embolisation of a complex coronary arteriovenous fistula in a 6 year old child: the need for specialised embolisation techniques.

J F Reidy 1, M J Tynan 1, S Qureshi 1
PMCID: PMC1024441  PMID: 2337497

Abstract

Transcatheter embolisation was performed in a six year old child with a large haemodynamically significant arteriovenous fistula between the left coronary artery and right ventricle. The fistula seemed to fill via a single large septal branch of the left anterior descending coronary artery. This was occluded distally with a detachable balloon backed up by a proximal coil. After this the flow through the fistula was considerably reduced but it still filled via a small diagonal branch that had not been noted previously. This branch was subsequently occluded in its most distal part by a coaxial catheter technique and a single microcoil. Complete occlusion of the fistula was produced and there were no complications.

Full text

PDF
246

Images in this article

246Image
on p.246
247Image
on p.247

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baltaxe H. A., Wixson D. The incidence of congenital anomalies of the coronary arteries in the adult population. Radiology. 1977 Jan;122(1):47–52. doi: 10.1148/122.1.47. [DOI] [PubMed] [Google Scholar]
  2. Effler D. B., Sheldon W. C., Turner J. J., Groves L. K. Coronary arteriovenous fistulas: diagnosis and surgical management. Report of fifteen cases. Surgery. 1967 Jan;61(1):41–50. [PubMed] [Google Scholar]
  3. HABERMANN J. H., HOWARD M. L., JOHNSON E. S. RUPTURE OF THE CORONARY SINUS WITH HEMOPERICARDIUM. A RARE COMPLICATION OF CORONARY ARTERIOVENOUS FISTULA. Circulation. 1963 Dec;28:1143–1144. doi: 10.1161/01.cir.28.6.1143. [DOI] [PubMed] [Google Scholar]
  4. Levin D. C., Fellows K. E., Abrams H. L. Hemodynamically significant primary anomalies of the coronary arteries. Angiographic aspects. Circulation. 1978 Jul;58(1):25–34. doi: 10.1161/01.cir.58.1.25. [DOI] [PubMed] [Google Scholar]
  5. McNamara J. J., Gross R. E. Congenital coronary artery fistula. Surgery. 1969 Jan;65(1):59–69. [PubMed] [Google Scholar]
  6. Mitchell S. E., Kan J. S., White R. I., Jr Interventional techniques in congenital heart disease. Semin Roentgenol. 1985 Jul;20(3):290–311. doi: 10.1016/0037-198x(85)90012-4. [DOI] [PubMed] [Google Scholar]
  7. Reidy J. F., Jones O. D., Tynan M. J., Baker E. J., Joseph M. C. Embolisation procedures in congenital heart disease. Br Heart J. 1985 Aug;54(2):184–192. doi: 10.1136/hrt.54.2.184. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Reidy J. F., Sowton E., Ross D. N. Transcatheter occlusion of coronary to bronchial anastomosis by detachable balloon combined with coronary angioplasty at same procedure. Br Heart J. 1983 Mar;49(3):284–287. doi: 10.1136/hrt.49.3.284. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. St John Sutton M. G., Miller G. A., Kerr I. H., Traill T. A. Coronary artery steal via large coronary artery to bronchial artery anastomosis successfully treated by operation. Br Heart J. 1980 Oct;44(4):460–463. doi: 10.1136/hrt.44.4.460. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Wilde P., Watt I. Congenital coronary artery fistulae: six new cases with a collective review. Clin Radiol. 1980 May;31(3):301–311. doi: 10.1016/s0009-9260(80)80223-6. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES