Abstract

Coronary arteriovenous fistulas are rare anomalies that connect one or more coronary arteries to a cardiac chamber or other vascular structure. These communications can be occluded using percutaneous treatment, and there are currently several approaches and techniques. We report the case of an adolescent aged 12 years and 10 months, with a large fistula of the right coronary artery draining into the right ventricular cavity, in which the Amplatzer® Vascular Plug II device was used. The technical steps used are described in detail, with excellent immediate results.

Highlights

  • Coronary arteriovenous fistulas are rare anomalies that connect one or more coronary arteries to a cardiac chamber or other vascular structure, preferably in the pulmonary vasculature, and may drain into other venous connections.[1]

  • Some coronary fistulas tend to enlarge over time, whereas others remain trivial.[2]

  • We describe a rare presentation of fistula between the right coronary artery and the free cavity of the right ventricle, causing overload in the right chambers, and the

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Summary

CASE REPORT

Oclusão de volumosa fístula da artéria coronária direita para a cavidade ventricular direita utilizando Amplatzer® Vascular Plug II. Occlusion of a large fistula between the right coronary artery and the right ventricular cavity using Amplatzer® Vascular Plug II. We report the case of an adolescent aged 12 years and 10 months, with a large fistula of the right coronary artery draining into the right ventricular cavity, in which the Amplatzer® Vascular Plug II device was used. Relatamos o caso de uma adolescente de 12 anos e 10 meses, com volumosa fístula da artéria coronária direita drenando na cavidade ventricular direita, no qual foi utilizado o dispositivo Amplatzer® Vascular Plug II.

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