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Percutaneous device closure of hemodynamically significant coronary fistula following endomyocardial biopsy in a pediatric heart transplant patient

Published online by Cambridge University Press:  02 August 2023

Stephen T. Dalby Open the ORCID record for Stephen T. Dalby [Opens in a new window]  and
Michael J. Angtuaco
Stephen T. Dalby*
Affiliation:
Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children’s Research Institute, Little Rock, AR, USA Department of Pediatrics, University of California San Diego, Rady Children’s Hospital, San Diego, CA, USA
Michael J. Angtuaco
Affiliation:
Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children’s Research Institute, Little Rock, AR, USA
*
Corresponding author: S. Dalby; Email: SDalby@RCHSD.org
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Abstract

Coronary artery fistula is a rare but well-documented complication of right ventricular endomyocardial biopsy, particularly in the adult population. Typically, these fistulae never reach clinical or hemodynamic significance, but some may cause coronary steal and ventricular dysfunction. We report a case of a significant coronary artery fistula requiring device closure in the cardiac catheterization laboratory with subsequent improvement of clinical symptoms and cardiac function.

Keywords

Coronary artery fistulatranscatheter device closureheart transplantpaediatrics
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 11 , November 2023 , pp. 2461 - 2462
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

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Boussaadani, BE, Raiss, Z, Qat, A, Goube, P. Bad heart luck: myocardial infarction related to iatrogenic coronary cameral fistula in a heart transplant patient. J Saudi Heart Assoc 2020; 32: 320–323.10.37616/2212-5043.1084CrossRefGoogle Scholar