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CASE REPORT article
Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 11 - 2024 |
doi: 10.3389/fcvm.2024.1439263
Case Report: 3D Imaging-Assisted Minimally-Invasive Hybrid Closure Surgery of A Complex Coronary Artery Fistulas
Provisionally accepted- 1 Dalian Women and Children’s Medical Center(Group), Dalian, Liaoning Province, China
- 2 Dalian Medical University, Dalian, Liaoning, China
- 3 The Sixth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China
Coronary artery fistulas (CAFs) are rare congenital heart defects that are typically managed through interventional closure, traditional surgery, or minimally invasive hybrid closure surgery. However, treating CAFs with complex anatomy, such as tortuous vessels, presents a significant challenge, particularly in young children. We report the case of a 3.8-year-old child (15 kg/100 cm) with a complex CAF, treated using a minimally invasive hybrid closure surgery approach with a 4× 4 mm Amplatzer Duct Occluder II (ADO II) (Abbott, USA). Three-dimensional (3D) imaging was utilized to visualize the CAF's anatomy, guide the surgical planning, and accurately determine the puncture site on the right ventricular free wall, as well as the optimal sheath direction and insertion depth. The procedure was carried out efficiently and safely, guided by preoperative 3D imaging and intraoperative transesophageal echocardiography. Follow-up at one year demonstrated excellent outcomes with no complications.
Keywords: Coronary artery fistula, congenital heart disease, three-dimensional imaging, Minimally invasive hybrid closure surgery, case report
Received: 27 May 2024; Accepted: 06 Nov 2024.
Copyright: © 2024 Chen, Lu, Lian, Chang, Wen, Ma and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Xingchen Lian, Dalian Women and Children’s Medical Center(Group), Dalian, Liaoning Province, China
Ping Wen, Dalian Women and Children’s Medical Center(Group), Dalian, Liaoning Province, China
Lin Ma, Dalian Women and Children’s Medical Center(Group), Dalian, Liaoning Province, China
Yuhang Liu, Dalian Women and Children’s Medical Center(Group), Dalian, Liaoning Province, China
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