Spontaneous “Coronary Bypass” in a Paediatric Transplanted Heart

We report an asymptomatic 5-year-old boy with coronary artery fistulas to pulmonary parenchyma and to systemic thoracic arteries, like a “natural bypass”, detected during a coronary angiography performed 11 months after his heart transplant. One year later, a new coronary angiography showed no fistu...

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Veröffentlicht in:	Pediatric cardiology 2020, Vol.41 (1), p.217-219
Hauptverfasser:	Camprubí-Tubella, Elisabet, Albert-Brotons, Dimpna C., Betrián-Blasco, Pedro
Format:	Artikel
Sprache:	eng
Schlagworte:	Angiography Cardiac Surgery Cardiology Child, Preschool Coronary Angiography Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - etiology Everolimus - adverse effects Fistula - diagnostic imaging Fistula - etiology Heart Heart Transplantation Humans Images in Pediatric Cardiology Immunosuppressive Agents - adverse effects Male Medicine Medicine & Public Health Pediatrics Transplantation Vascular fistula Vascular Surgery
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Beschreibung
Zusammenfassung:	We report an asymptomatic 5-year-old boy with coronary artery fistulas to pulmonary parenchyma and to systemic thoracic arteries, like a “natural bypass”, detected during a coronary angiography performed 11 months after his heart transplant. One year later, a new coronary angiography showed no fistula. Some changes to immunosuppressive therapy during this time could be related to this evolution.
ISSN:	0172-0643 1432-1971
DOI:	10.1007/s00246-019-02278-x