[Spontaneous closure of coronary fistulas: a possible prognostic role of the site of drainage].
The case of a 34 month-old infant with cardiac murmur and echocardiographic signs of coronary artery fistula is presented. Cardiac catheterization was performed, revealing a right coronary artery-to-right ventricle fistula, and a significant left-to-right shunt. At 4.0 years of age she underwent a repeated catheterization, showing complete spontaneous closure of the fistula. Review of the literature shows that fistulas draining into the right ventricle have some chance to close spontaneously. Accordingly, clinical approach should therefore be considered.
Ospedale Bambino Gesu, Roma.
G
G
Santoro
R
R
Formigari
D
D
Di Carlo
L
L
Ballerini
D000367:Age Factors; D002675:Child, Preschool; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D011379:Prognosis
Chiusura spontanea delle fistole coronariche: possibile ruolo prognostico della sede di comunicazione.