Percutaneous Closure of Iatrogenic Aortopulmonary Fistula Using the Amplatzer Septal Occluder®

Coserria, Félix; Méndez, A.; Moruno, Antonio; Valverde, Israel; Soto, José Santos de

doi:10.1016/j.rec.2013.09.017

Cited by 5 publications

(8 citation statements)

References 7 publications

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“…Ten were closed: four with covered stents, 11,14,17,20 three with surgery, 12,13,19 two with aortic endografts 16,18 and one with a device. 15 In context of these few reports, we find our experience illuminating. We believe that factors in our cases leading eventually to fistulae were the LeCompte arrangement of the stenotic pulmonary branches, the use of bare metal stents at target sites along the straddling arteries, redilation of the stents to larger than recommended diameters, and finally stent fractures.…”

Section: Discussionmentioning

confidence: 70%

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Pulmonary artery interventions after the arterial switch operation: Unique and significant risks

Lee

Shahbah

El‐Said

et al. 2019

Congenital Heart Disease

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Background:In the modern era, results of the arterial switch operation (ASO) for transposition of the great arteries are excellent. However, because of the LeCompte maneuver, there may be a propensity for development of pulmonary artery stenosis.We encountered atypical complications of pulmonary artery stenting in patients after the ASO, including aorto-pulmonary fistula and coronary compression. Methods:We performed a 10-year retrospective review of catheterizations performed in patients after ASO in our institution with a focus on adverse events.Results: Diagnostic and interventional catheterizations were performed in 47 patients. In 29 patients, 37 interventional procedures performed, which included pulmonary artery angioplasty and/or stenting. In this group, there were five major adverse events (14%), including three aorto-pulmonary fistulae and one coronary artery compression among patients having stent implantation or stent redilation. In addition, there were 6/37 (16%) intended stent procedures, which were aborted because there appeared to be high-risk of significant adverse events.Conclusions: This review suggests that percutaneous intervention on pulmonary artery stenosis after ASO has high-risk and should be undertaken advisedly. Prior thorough evaluation of coronary arteries is mandatory as coronary reimplantation sites may be adjacent to sites of pulmonary artery stenosis. Furthermore, if pulmonary artery stent implantation or stent redilation is contemplated, the risk of stent fracture and possible AP fistula should be recognized. Primary use of reinforced covered stents should be considered. K E Y W O R D Saorto-pulmonary fistula, arterial switch operation, pulmonary artery, stents, transposition of great vessels

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Section: Discussionmentioning

confidence: 70%

“…11 Eleven additional cases have been reported. [12][13][14][15][16][17][18][19][20] Five were after one or more angioplasties, and six cases occurred after angioplasty and stent implantation. Of the stented cases, none were noted to have stent disruptions or fractures.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary artery interventions after the arterial switch operation: Unique and significant risks

Lee

Shahbah

El‐Said

et al. 2019

Congenital Heart Disease

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“…Between 1992 and 2014, including the above patients, there were 18 reported cases of an iatrogenic AP communication after balloon pulmonary arterioplasty, PA stenting, or TPVR reported in the literature (Table ) . Additional details and images were available for one of the previously reported cases (Fig.…”

Section: Resultsmentioning

confidence: 99%

Iatrogenic aortopulmonary communications after transcatheter interventions on the right ventricular outflow tract or pulmonary artery: Pathophysiologic, diagnostic, and management considerations

Torres

Sanders

Vincent

et al. 2015

Cathet Cardio Intervent

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“…Acquired APF in the pediatric and adult populations are shown to be associated with some level of defect in the wall of the great vessels including an intimal tear, pseudoaneurysm or aneurysm breaking into the pulmonary artery and resulting in direct communication between these great vessels [3,4]. In pediatric populations, there have been multiple reports of iatrogenic APF formations after pulmonary angioplasty using different devices for percutaneous closure [8,9]. In all cases, a mild intimal tear in…”

Section: Discussionmentioning

confidence: 99%

“…APF occlusion using Amplatzer vascular occluder, in our patient, lead to a decrease in Fontan circuit pressures to a mean pressure of 20 mm Hg while the patient was still intubated and on positive pressure ventilation and it was expected for this pressure to decrease further with resolution of pleural effusions and ascites, as it was observed. Today, many devices are available for percutaneous closure of APF including coils, plugs, microspheres, glue and occlusion balloons and its safety and efficacy has been well established so far [6,8,10,11].…”

Section: Conflict Of Interestmentioning

confidence: 99%

Diagnosis and Management of Fontan Failure Secondary to Aortopulmonary Artery Fistula

Dzelebdzic¹,

Tawfik²,

Collazo³

et al. 2019

jshd

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Aortopulmonary artery fistula represents a rare anomalous communication between aorta and pulmonary artery. The treatment of these communications is well established and involves either surgical or percutaneous approach. We present a 15-year-old male with history of hypoplastic left ventricle, hypoplastic aorta and ventricular septal defect with Damus-Kaye-Stansel surgery in the past, who developed acute Fontan circuit failure secondary to the development of aortopulmonary fistula of unknown etiology. Fistula was successfully closed percutaneously, using Amplatzer duct occluder.

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Percutaneous Closure of Iatrogenic Aortopulmonary Fistula Using the Amplatzer Septal Occluder®

Cited by 5 publications

References 7 publications

Pulmonary artery interventions after the arterial switch operation: Unique and significant risks

Pulmonary artery interventions after the arterial switch operation: Unique and significant risks

Iatrogenic aortopulmonary communications after transcatheter interventions on the right ventricular outflow tract or pulmonary artery: Pathophysiologic, diagnostic, and management considerations

Diagnosis and Management of Fontan Failure Secondary to Aortopulmonary Artery Fistula

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