Coronary-cameral fistula between left anterior descending artery and right atrium in childhood: a case report
TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, vol.24, no.3, pp.557-560, 2016 (SCI-Expanded, Scopus, TRDizin)
- Publication Type: Article / Article
- Volume: 24 Issue: 3
- Publication Date: 2016
- Doi Number: 10.5606/tgkdc.dergisi.2016.12334
- Journal Name: TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Page Numbers: pp.557-560
- Keywords: Childhood, coronary-cameral fistula, left anterior descending artery, right atrium, RIGHT VENTRICLE, EMBOLIZATION, ANEURYSM, CHILDREN
- Istanbul University Affiliated: Yes
Abstract
Coronary artery fistulas are abnormalities of artery termination. The fistulas involving the right heart chambers are more common than those involving the left heart chambers. The occurrence of a coronary-cameral fistula in pediatric patients is unusual. Patients are mostly asymptomatic and presenting symptoms may occur at older ages. The pathology is diagnosed by two-dimensional echocardiography, cardiac catheterization, and computed tomographic angiography. Early treatment is recommended due to the risk of congestive heart failure, endocarditis, myocardial ischemia/infarction, pulmonary hypertension, and coronary aneurysm formation with subsequent ruptures or embolization. Herein, we present an 11-year-old girl in whom a giant coronary artery fistula localized between the left anterior descending artery and the right atrium was successfully treated.