Peratrial Device Closure of a Congenital Coronary Artery Fistula through a Right Parasternal Approach: Innovative Use of Available Technology

Authors

  • Yanting Jia Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University
  • Li Hongxin Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University
  • Guo Wenbin Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong University
  • Haizhou Zhang Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University
  • Chengwei Zou Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University

DOI:

https://doi.org/10.1532/hsf.1250

Abstract

Current treatments for congenital coronary artery fistulas (CAFs) include surgical obliteration and transcatheter occlusion. However, surgical techniques involve significant trauma. Transcatheter occlusion is performed under fluoroscopy and angiography, in which radiation injury is inevitable. We present a patient, with a CAF from the left coronary artery to the right atrium, who underwent peratrial device closure of the CAF with a right parasternal approach under transesophageal echocardiography guidance. Complete occlusion was achieved by a symmetric ventricular septal occluder. We suggest that peratrial device closure of a congenital coronary artery fistula through a right parasternal approach may be a safe and effective option.

Author Biography

Li Hongxin, Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University

Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University

References

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Hongxin L, Wenbin G, Lijun S, et al. 2007. Intraoperative device closure of secundum atrial septal defect with a right anterior minithoracotomy in 100 patients. J Thorac Cardiovasc Surg 134:946-51.

Hongxin L, Zhang N, Wenbin G, et al. 2014. Peratrial device closure of perimembranous ventricular septal defects through a right parasternal approach. Ann Thorac Surg 98:668-74.

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Published

2016-02-16

How to Cite

Jia, Y., Hongxin, L., Wenbin, G., Zhang, H., & Zou, C. (2016). Peratrial Device Closure of a Congenital Coronary Artery Fistula through a Right Parasternal Approach: Innovative Use of Available Technology. The Heart Surgery Forum, 19(1), E005-E007. https://doi.org/10.1532/hsf.1250

Issue

Section

Articles