Related Experiment Videos
Usefulness of interlocking detachable coil for embolization of the major aorto-pulmonary collateral artery: a case
T Kawata1, J Hasegawa, Y Yoshida
1Department of Surgery, Nara Medical College, Japan.
Insights
This study reports the first successful embolization of a major aorto-pulmonary collateral artery using interlocking detachable coils in a 5-year-old patient with complex congenital heart disease, improving treatment options.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiac Surgery
Background:
- A 5-year-old male with a history of right-modified Blalock-Taussig shunt for complex congenital heart disease presented for corrective surgery.
- Pre-operative angiography identified a large major aorto-pulmonary collateral artery supplying the right upper lung.
Observation:
- The patient had undergone a right-modified Blalock-Taussig shunt at 1 month of age for pulmonary atresia, ventricular septal defect, and patent ductus arteriosus.
- A significant aorto-pulmonary collateral artery was visualized originating from the descending aorta.
Findings:
- Successful embolization of the major aorto-pulmonary collateral artery was achieved using interlocking detachable coils.
- This represents the first documented use of this specific device for major aorto-pulmonary collateral artery embolization.
Implications:
- This technique offers a novel and potentially effective minimally invasive treatment for major aorto-pulmonary collateral arteries in pediatric patients.
- Successful embolization may simplify subsequent corrective surgeries and improve long-term outcomes in complex congenital heart disease.
Abstract:
A 5-yr-old male had undergone a right-modified Blalock-Taussig shunt operation at the age of 1 mo for stenotic patient ductus arteriosus and pulmonary atresia with ventricular septal defect. Before a corrective operation, the angiogram revealed one large major aorto-pulmonary collateral artery from the descending aorta to the right upper lung. Embolization of the major aorto-pulmonary collateral artery was successfully performed using interlocking detachable coils. This is the first reported case of embolization of the major aorto-pulmonary collateral artery using this device.