[Congenital coronary arterial fistula drained to the coronary sinus--a case report].
We report a very rare case of an infant with coronary arterial fistula in whom the communication between a dilated right coronary artery and the coronary sinus was found. The patient was 1-year-old. She had pulmonary congestion and cardiomegaly due to the left-to-right shunt through the fistula, and underwent ligations of the fistula. Ligations of the fistula was indicated because the patient was too small to undergo a fistula resection and coronary arterial bypass grafting. Although the patient had a successful post-operative course, we are paying attention to the aneurysmal change of the dilated right coronary artery proximal to the site of ligations.
Yamamoto
H
H
First Department of Surgery, Asahikawa Medical College, Hokkaido, Japan.
Goh
K
K
Akasaka
N
N
Sasajima
T
T
Kubo
Y
Y
Oka
R
R
D001164:Arteriovenous Fistula / Q000151:congenital* / Q000175:diagnosis*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007223:Infant