title: [Spontaneous occlusion of a congenital coronary artery fistula].
abstract: Cardiac catheterisation of a 6-month-old asymptomatic infant with a continuous precordial murmur revealed a congenital coronary artery fistula draining into the right ventricle. Following a period with no complications and the disappearance of the cardiac murmur, recatheterisation at the age of 4 years showed spontaneous complete closure of the fistula. This case in connection with 3 similar cases from the literature suggests that in asymptomatic patients with a congenital coronary artery fistula surgery might be delayed until school age in order to give spontaneous closure a chance.
mesh_terms: D006328:Cardiac Catheterization; D002675:Child, Preschool; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008297:Male; D009200:Myocardial Contraction; D011379:Prognosis
vernacular_title: Spontanverschluss einer angeborenen Koronararterienfistel.