Coronary cameral fistula to right atrium in a 10 year old male: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20192400Keywords:
Coronary artery fistula, Coronary cameral fistula, Epicardial ligationAbstract
A coronary cameral fistula is a rare cardiac anomaly and involves an abnormal communication between one of the coronary arteries and a cardiac chamber. In most of cases, it is a congenital lesion and is asymptomatic in early life. Once symptoms appear, patient warrants early evaluation and treatment. Presently, CT Angiography is the best investigation for diagnosing the disease and the best treatment modality is surgical closure. We present a case of a 10 year old male with large coronary cameral fistula from right coronary artery to right atrium, who was symptomatic and was operated for the same.
References
Ata Y, Turk T, Bicer M, Yalcin M, Ata F, Yavuz S. Coronary arteriovenous fistulas in adults: natural history and management strategies. J Cardiothoracic Surg. 2009;4(62):1749-62.
Tomasian A, Lell M, Currier J, Rahman J, Krishnam MS. Coronary artery to pulmonary artery fistulae with multiple aneurysms: radiological features on dual-source 64-slice CT angiography. Br J Radiol 2008;81:e218 –20.
Mahoney LT, Sckieken RM, Rauer RM. Spontaneous closure of a coronary artery fistula in childhood. Pediatr Cardiol, 1982; 2: 311-12
Mohanty SK, Ramanathan KR, Banakal S, Muralidhar K, Kumar P. An interesting case of coronary cameral fistula. Ann Card Anaesth. 2006;8(2):152-4.
London MJ, Mittnacht A, Kaplan JA. Anaesthesia for myocardial revascularisation. In: Kaplan JA, ed. Essentials of cardiac anaesthesia. Philadelphia: Saunders Elsevier; 2008: 293-326.
Mavroudis C, Backer CL, Rocchini AP, Muster AJ, Gevitz M. Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization. Ann Thorac Surg. 1997;63:1235– 42.
Perry SB, Rome J, Keane JF, Baim DS, Lock JE. Transcatheter closure of coronary artery fistulas. J Am Coll Cardiol. 1992;20:205–9.
