Multiple coil closure of isolated aortopulmonary collateral
Sumanta S Padhi1, Kinjal D Bakshi, Ram K Shastri
1Department of Cardiology, Innova Children's Heart Hospital, Secunderabad, India.
Insights
A large aortopulmonary collateral causing heart failure in an infant with a normal heart was successfully closed using multiple coils. This case highlights a novel sequential coil embolization technique for this rare condition.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Interventional Cardiology
Background:
- Congestive heart failure in infants often necessitates thorough etiological investigation.
- Aortopulmonary collateral arteries (APCs) are uncommon vascular anomalies that can lead to significant hemodynamic disturbances.
- Identifying and managing APCs is crucial for improving outcomes in pediatric heart failure.
Observation:
- A 7-month-old infant presented with symptoms of congestive heart failure.
- Cardiac evaluation revealed a large aortopulmonary collateral artery as the primary pathology.
- The infant had no other congenital heart defects or significant cardiopulmonary disease.
Findings:
- The large APC was successfully occluded using a sequential embolization technique with multiple coils.
- This interventional approach resolved the hemodynamic burden causing heart failure.
- The procedure was technically successful without immediate complications.
Implications:
- This case demonstrates the feasibility and efficacy of sequential coil embolization for large APCs in infants.
- It presents a potential minimally invasive treatment option for APCs causing heart failure in structurally normal hearts.
- Further research may explore this technique's broader application in managing similar pediatric vascular anomalies.
Abstract:
A 7-month-old girl was diagnosed to have large aortopulmonary collateral during evaluation for congestive heart failure. There was no other evidence of cardiopulmonary disease. The collateral was successfully closed with multiple coils delivered sequentially. We describe the issues associated during closure of the aortopulmonary collateral in this case. To the best of our knowledge, this is the first reported case of large aortopulmonary collateral presenting with heart failure in an otherwise structurally normal heart that was closed successfully with multiple coils delivered sequentially.
