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http://dx.doi.org/10.3345/kjp.2008.51.10.1118

Coronary artery fistula associated with single coronary artery  

Kim, Seong Man (Department of Cardiology, College of Medicine, Inje University, Busan Paik Hosital)
Song, Min Seob (Department of Pediatrics, College of Medicine, Inje University, Busan Paik Hosital)
Cho, Kwang Hyun (Department of Cardiothoracic Surgery, College of Medicine, Inje University, Busan Paik Hosital)
Kim, Chul Ho (Department of Pediatrics, College of Medicine, Inje University, Busan Paik Hosital)
Publication Information
Clinical and Experimental Pediatrics / v.51, no.10, 2008 , pp. 1118-1122 More about this Journal
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.
Keywords
Coronary vessel anomalies; Arteriovenous fistula; Child; Cardiac surgery;
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