Novel use of an Amplatzer Vascular Occluder II to close an acquired fistula between a reconstructed aortic arch and the left atrial appendage in a patient with hypoplastic left heart syndrome

An 8‐month‐old female with hypoplastic left heart syndrome had undergone bidirectional cavopulmonary anastomosis at the age of 4.5 months and presented with a new continuous flow murmur on routine follow‐up. Diagnostic catheterization demonstrated a fistula between the left atrial appendage and the neo‐aortic arch. The fistula was sealed with an Amplatzer Vascular Occluder II device without complications. © 2012 Wiley Periodicals, Inc.