TRANSCATHETER EMBOLIZATION OF A RESIDUAL CONGENITAL CORONARY ARTERIOVENOUS-FISTULA WITH A DETACHABLE BALLOON - SUPERIORITY OF INTERVENTIONAL CARDIOLOGY

A ten-year-old girl who presented with a continuous murmur was diagnos ed with a right coronary to right ventricular fistula with colored Dop pler echocardiography and selective arteriography. She underwent tradi tional treatment-ligation of the fistula by sternotomy. Afterwards, th e systolic component of the murmur persisted and repeat arteriography showed a residual shunt through the fistula, with no change in the dia meter of the right coronary artery. We describe the first case in whic h a residual fistula was treated with a detachable balloon embolizatio n.