A circumflex coronary artery-to-right atrial fistula in a 10-month-old child
A coronary fistula (CF) is a rare congenital cardiac anomaly in which there is a connection between the coronary artery and a cardiac chamber or a great vessel. In the paediatric population, a CF is usually asymptomatic. While the circumflex coronary artery (Cx) is the least common source of a CF, t...
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Veröffentlicht in: | Cardiovascular Journal of Africa 2016-12, Vol.27 (6), p.e1-e3 |
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creator | Şişli, Emrah Ayik, Mehmet Fatih Akyüz, Muhammet Dereli, Münevver Atay, Yüksel |
description | A coronary fistula (CF) is a rare congenital cardiac anomaly in which there is a connection between the coronary artery and a cardiac chamber or a great vessel. In the paediatric population, a CF is usually asymptomatic. While the circumflex coronary artery (Cx) is the least common source of a CF, the right heart chambers are the most common location of drainage. Herein, we present a symptomatic 10-month-old boy with an atrial septal defect (ASD) in whom we incidentally detected a CF, which stemmed from the Cx and drained to the right atrium. Because the patient was symptomatic and his small size was not appropriate for percutaneous closure of the ASD, surgical closure of the ASD and CF was performed. |
doi_str_mv | 10.5830/CVJA-2016-044 |
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In the paediatric population, a CF is usually asymptomatic. While the circumflex coronary artery (Cx) is the least common source of a CF, the right heart chambers are the most common location of drainage. Herein, we present a symptomatic 10-month-old boy with an atrial septal defect (ASD) in whom we incidentally detected a CF, which stemmed from the Cx and drained to the right atrium. Because the patient was symptomatic and his small size was not appropriate for percutaneous closure of the ASD, surgical closure of the ASD and CF was performed.</description><identifier>ISSN: 1995-1892</identifier><identifier>EISSN: 1680-0745</identifier><identifier>DOI: 10.5830/CVJA-2016-044</identifier><identifier>PMID: 27965995</identifier><language>eng</language><publisher>South Africa: Clinics Cardive Publishing</publisher><subject>Abnormalities, Multiple ; Cardiac Surgical Procedures ; Case Report ; Coronary Vessel Anomalies - diagnostic imaging ; Coronary Vessel Anomalies - surgery ; Echocardiography, Doppler, Color ; Heart Atria - abnormalities ; Heart Atria - diagnostic imaging ; Heart Atria - surgery ; Heart Septal Defects, Atrial - diagnostic imaging ; Heart Septal Defects, Atrial - surgery ; Humans ; Incidental Findings ; Infant ; Male ; Treatment Outcome ; Vascular Fistula - diagnostic imaging ; Vascular Fistula - surgery</subject><ispartof>Cardiovascular Journal of Africa, 2016-12, Vol.27 (6), p.e1-e3</ispartof><rights>Copyright © 2015 Clinics Cardive Publishing. 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subjects | Abnormalities, Multiple Cardiac Surgical Procedures Case Report Coronary Vessel Anomalies - diagnostic imaging Coronary Vessel Anomalies - surgery Echocardiography, Doppler, Color Heart Atria - abnormalities Heart Atria - diagnostic imaging Heart Atria - surgery Heart Septal Defects, Atrial - diagnostic imaging Heart Septal Defects, Atrial - surgery Humans Incidental Findings Infant Male Treatment Outcome Vascular Fistula - diagnostic imaging Vascular Fistula - surgery |
title | A circumflex coronary artery-to-right atrial fistula in a 10-month-old child |
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