Multimodality Case of Giant Coronary-Cameral Fistula 10 Years After Percutaneous Closure

Fabiola B. Sozzi, MD, Ospedale Policlinico IRCCS Cà Granda, Milan, Italy; Nicolas Hugues, MD, Laura Iacuzio, MD, and Francois Bourlon, MD, Monaco Cardiothoracic Centre, Monaco
 |  Oct 10, 2018

An 8-year-old girl with a giant congenital isolated coronary-cameral fistula was severely symptomatic for heart failure. The fistula originated from the left anterior descending coronary artery that was aneurysmal, and drained into the right ventricle (RV). She was successfully treated with a transcatheter closure using the Amplatzer duct occluder (prostheses AGA-CIA 4 mm). The procedure provided sustained clinical improvement as the patient remained asymptomatic and in NYHA class I during follow-up.


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The outcomes by Siemens Healthineers customers described herein are based on results that were achieved in the customer’s unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.