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A rare case of coexistence of a patent ductus arteriosus and a congenital carotid arteriovenous fistula in a 7-year-old girl
Affiliations- Department of Pediatric Cardiology, Medical University of Silesia, Katowice, Poland
- Department of Imaging Diagnostics, Department of Radiology and Nuclear Medicine, Independent Public Central Clinical Hospital prof. Kornel Gibiński, Katowice, Poland
- Department of Imaging Diagnostics and Interventional Radiology, Upper Silesian Child Health Center, Katowice, Poland
- Department of Imaging Diagnostics, Department of Radiology and Nuclear Medicine, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
- Department of Pediatric Cardiology, Medical University of Silesia, Katowice, Poland
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Abstract
A 7-year-old girl, who underwent a hemodynamically significant patent ductus arteriosus closure at the age of 3 months, was diagnosed with a systolic gradient in the aortic lumen of approximately 40 mm Hg in Doppler examination, caused by prominence of the occluder. Additionally, an increase in the left ventricle and pulmonary artery sizes were established. Due to unclear symptoms, cardiac catheterization was performed, concluding that the implant was correctly positioned and did not obstruct blood flow, yet revealing features of increased left-right flow and pulmonary hypertension, suggesting the presence of an intracranial arteriovenous fistula. The performed computed tomography excluded a cerebral fistula and revealed an abnormal connection between the branch of the left external carotid artery and the left internal jugular vein. The fistula was interventionally closed with coils and no residual leakage was observed after the procedure. The girl was discharged home in a good condition.
Abstract
A 7-year-old girl, who underwent a hemodynamically significant patent ductus arteriosus closure at the age of 3 months, was diagnosed with a systolic gradient in the aortic lumen of approximately 40 mm Hg in Doppler examination, caused by prominence of the occluder. Additionally, an increase in the left ventricle and pulmonary artery sizes were established. Due to unclear symptoms, cardiac catheterization was performed, concluding that the implant was correctly positioned and did not obstruct blood flow, yet revealing features of increased left-right flow and pulmonary hypertension, suggesting the presence of an intracranial arteriovenous fistula. The performed computed tomography excluded a cerebral fistula and revealed an abnormal connection between the branch of the left external carotid artery and the left internal jugular vein. The fistula was interventionally closed with coils and no residual leakage was observed after the procedure. The girl was discharged home in a good condition.
Keywords
arteriovenous fistula, carotid artery, patent ductus arteriosus, interventional treatment
About this articleTitle
A rare case of coexistence of a patent ductus arteriosus and a congenital carotid arteriovenous fistula in a 7-year-old girl
Journal
Issue
Article type
Case report
Pages
87-90
Published online
2022-08-05
Page views
531
Article views/downloads
78
DOI
10.5603/FC.a2022.0050
Bibliographic record
Folia Cardiologica 2023;18(2):87-90.
Keywords
arteriovenous fistula
carotid artery
patent ductus arteriosus
interventional treatment
Authors
Agnieszka Skierska
Miłosz Zbroszczyk
Zbigniew Olczak
Anna Szydłowska
Olga Wilk
Katarzyna Gruszczyńska
Andrzej Szydłowski
Jacek Kusa
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