Korean J Pediatr.
2008 Oct;51(10):1118-1122. 10.3345/kjp.2008.51.10.1118.
Coronary artery fistula associated with single coronary artery
- Affiliations
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- 1Department of Pediatrics, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea. msped@hanmail.net
- 2Department of Cardiology, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea.
- 3Department of Cardiothoracic Surgery, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea.
- KMID: 2280321
- DOI: http://doi.org/10.3345/kjp.2008.51.10.1118
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.
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