Department of Pediatric Cardiology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Interact Cardiovasc Thorac Surg. 2022 Nov 8;35(6). doi: 10.1093/icvts/ivac260.
Congenital aortocaval fistula (ACF) is a rare cardiac malformation. While it can occur in combination with patent ductus arteriosus (PDA), this has not been reported. In this case, a 1-year-old infant had a heart murmur found in a routine physical examination, and PDA was revealed by transthoracic echocardiography and abdominal ACF was detected by three-dimensional coronary artery computed tomography. Percutaneous interventional therapy, used for ACF and PDA, was performed to occlude the malformation. The patient presented good health without any discomfort at a 1-year follow-up. The percutaneous closure of ACF and PDA with an Amplatzer vascular device can be considered an appropriate option.
先天性主-腔静脉瘘(ACF)是一种罕见的心脏畸形。虽然它可以与动脉导管未闭(PDA)同时发生,但尚未有报道。本例中,1 岁婴儿在常规体格检查时发现心脏杂音,经胸超声心动图显示 PDA,三维冠状动脉计算机断层扫描发现腹部 ACF。采用经皮介入治疗来闭塞畸形,同时处理 ACF 和 PDA。1 年随访时,患儿健康状况良好,无任何不适。采用 Amplatzer 血管封堵器经皮闭合 ACF 和 PDA 可以作为一种合适的选择。