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Korean J Pediatr. 2008 Oct;51(10):1118-1122. English. Case Report.
Kim SM , Song MS , Cho KH , Kim CH .
Department of Pediatrics, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea. msped@hanmail.net
Department of Cardiology, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea.
Department of Cardiothoracic Surgery, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea.
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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