18 month old libyan boy (fig1) was diagnosed with a large coronary artery fistula that originated from the left coronary artery and emptied into the right atrium via coronary sinus . The patient was referred with heart murmur noted in neonatal routine check where echocardiogram carried out at benghazi's children's hospital confirm large coronary artery fistula (Fig 2) catheterization at age of 6 month confirm echocardiogram studies(fig3)
Aims/objectives
The early diagnosis and referral for intervention procedure is the gold standard of pediatric cardiology where the services needed in conjunction with surgical cover to the eastern region of Libya.,
Methods and materials
benghazi cardiac center serves nearly half country of popultion over 6,million (fig4) skilled pediatric echocardiography ,catheterization lab diagnostic and intervention procedures in house facilities placement a 8/6-mm Amplatzer PDA device.
Discussion/Results
we discuss the use of transcatheter methods including vascular plugs or PDAl/VSD occluder devices for coronary artery fistulae,
Our retrograde approach is simple and need to establish arteriovenous loops or to insert additional devices, we compare our results with previous reports. To our knowledge, this report the first case in north africa that describes the closure of a coronary fistula in an child at age of 18 month by use of an Amplatzer ductal occluder (fig5).
conclusion
we conclude the safety, the feasibility, and the standard approach to deployment to be established.as we provide the only single cardiac center experience which serve whole country for interventional in structure/congenital heart disease in the eastern region of Libya.,