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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1439263
This article is part of the Research Topic Case Reports in Heart Surgery: 2024 View all articles

Case Report: 3D Imaging-Assisted Minimally-Invasive Hybrid Closure Surgery of A Complex Coronary Artery Fistulas

Provisionally accepted
Yu Chen Yu Chen 1,2Jin Lu Jin Lu 1,2Xingchen Lian Xingchen Lian 1,2*Peipei Chang Peipei Chang 3Ping Wen Ping Wen 1*Lin Ma Lin Ma 1*Yuhang Liu Yuhang Liu 1,2*
  • 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

The final, formatted version of the article will be published soon.

    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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