Case Report: 3D imaging-assisted minimally-invasive hybrid closure surgery of a complex coronary artery fistulas

• DOI: 10.3389/fcvm.2024.1439263
• Publication Date: 2024-11-22T06:54:00Z
• Authors: Yu Chen; Jin Lu; Xingchen Lian; Peipei Chang; Ping Wen; Lin Ma; Yuhang Liu
• Keywords: Invasive surgery

Coronary artery fistulas (CAFs) are rare congenital heart defects that 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 3.8-year-old child (15 kg/100 cm) CAF, treated using surgery approach 4 × mm Amplatzer Duct Occluder II (ADO II) (Abbott, USA). Three-dimensional (3D) imaging was utilized to visualize CAF's guide surgical planning, and accurately determine puncture site on right ventricular free wall, well optimal sheath direction insertion depth. The procedure carried out efficiently safely, guided by preoperative 3D intraoperative transesophageal echocardiography. Follow-up at one year demonstrated excellent outcomes no complications.