[Non-invasive diagnosis of a right coronary artery-right ventricle fistula by Doppler echocardiography].
A six-year-old girl with an atypical continuous precordial murmur, was suspected of having a coronary arteriovenous fistula. A markedly dilated right coronary artery was revealed by two-dimensional echocardiography. The pulsed Doppler examination showed a diastolic retrograde flow in the ascending aorta, with a normal flow in the left ventricular outflow tract. With the sample volume in the right ventricle a continuous turbulent flow was observed. Color flow mapping showed a turbulent, systolic-diastolic flow in the right ventricle. The fistula was confirmed by cardiac catheterization.
Salazar
J
J
Sección de Cardiología Pediátrica, Hospital Miguel Servet, Zaragoza.
Placer
L
L
Artal
A
A
D002648:Child; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D015150:Echocardiography, Doppler; D005260:Female; D005402:Fistula / Q000151:congenital / Q000000981:diagnostic imaging*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D006801:Humans; D016278:Ventricular Function, Right
Diagnóstico no invasivo de fístula de arteria coronaria derecha a ventrículo derecho por ECO-Doppler.