Coronary-cameral fistula between left anterior descending artery and right atrium in childhood: a case repor

doi:10.5606/tgkdc.dergisi.2016.12334

Ünal Aydın, İsmihan Selen Onan, Onur Şen, Burak Onan, İhsan Bakır

Department of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.12334

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.

Keywords : Childhood; coronary-cameral fistula; left anterior descending artery; right atrium

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