Novel use of an Amplatzer Vascular Occluder II to close an acquired fistula between a reconstructed aortic arch and the left atrial appendage in a patient with hypoplastic left heart syndrome

Catheter Cardiovasc Interv. 2012 Nov 15;80(6):940-3. doi: 10.1002/ccd.24400. Epub 2012 Nov 8.

Abstract

An 8-month-old female with hypoplastic left heart syndrome had undergone bidirectional cavopulmonary anastomosis at the age of 4.5 months and presented with a new continuous flow murmur on routine follow-up. Diagnostic catheterization demonstrated a fistula between the left atrial appendage and the neo-aortic arch. The fistula was sealed with an Amplatzer Vascular Occluder II device without complications.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery*
  • Aortic Diseases / diagnosis
  • Aortic Diseases / etiology
  • Aortic Diseases / therapy*
  • Aortography
  • Atrial Appendage*
  • Cardiac Catheterization / instrumentation*
  • Equipment Design
  • Female
  • Fistula / diagnosis
  • Fistula / etiology
  • Fistula / therapy*
  • Fontan Procedure / adverse effects*
  • Heart Diseases / diagnosis
  • Heart Diseases / etiology
  • Heart Diseases / therapy*
  • Humans
  • Hypoplastic Left Heart Syndrome / surgery*
  • Infant
  • Radiography, Interventional
  • Treatment Outcome