Coronary artery fistula associated with single coronary artery.
10.3345/kjp.2008.51.10.1118
- Author:
Seong Man KIM
1
;
Min Seob SONG
;
Kwang Hyun CHO
;
Chul Ho KIM
Author Information
1. Department of Pediatrics, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea. msped@hanmail.net
- Publication Type:Case Report
- Keywords:
Coronary vessel anomalies;
Arteriovenous fistula;
Child;
Cardiac surgery
- MeSH:
Arteriovenous Fistula;
Cardiac Catheterization;
Cardiac Catheters;
Cardiopulmonary Bypass;
Child;
Coronary Vessel Anomalies;
Coronary Vessels;
Echocardiography;
Fistula;
Follow-Up Studies;
Heart Murmurs;
Heart Ventricles;
Humans;
Preschool Child;
Prognosis;
Recurrence;
Thoracic Surgery
- From:Korean Journal of Pediatrics
2008;51(10):1118-1122
- CountryRepublic of Korea
- Language:English
-
Abstract:
A case of a single coronary artery complicated with a coronary artery fistula (CAF) to the right ventricle is extremely rare, and its management strategy and prognosis are not clear. A 5-year-old boy was hospitalized for evaluation of a continuous heart murmur. Transthoracic echocardiography suggested a CAF to the right ventricle, with an enlarged left coronary artery. Cardiac catheterization confirmed the CAF terminating at the right ventricle and the absence of a right coronary artery. The fistula was ligated at the right ventricular side under cardiopulmonary bypass. At follow-up 18 months later, the child was clinically asymptomatic, and coronary angiogram showed no recurrence of the fistula.
