Background .– The prevalence of coronary fistulas is poorly known in the pediatric population. However complications are potentially serious as: heart failure, sudden death, arrhythmias, and endocarditis. In adults, transcatheter closure is an alternative to surgical treatment. In pediatric populations, few publications exist on the feasibility and effectiveness of this treatment.
Aim .– To evaluate the feasibility of percutaneous closure of coronary fistulae in pediatrics, the evolution and the occurrence of complications.
Methods .– Retrospective observational multicentric national study concerning all patients under 16 who underwent transcatheter closure of a congenital coronary fistula (complex cardiopathies excluded).
Results :
| Origin | Left coronary (28) | Right coronary (28) | Double (5) |
|---|---|---|---|
| Drainage site | Right atrium (12) | Right atrium (12) | Right ventricle (4) |
| Right ventricle (12) | Right ventricle (13) | Pulmonary artery (1) | |
| Left atrium (2) | Pulmonary artery (2) | ||
| Left and right ventricle (1) | Left atrium (1) | ||
| Pulmonary artery (1) |
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