[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.
First Department of Surgery, Asahikawa Medical College, Hokkaido, Japan.
H
H
Yamamoto
K
K
Goh
N
N
Akasaka
T
T
Sasajima
Y
Y
Kubo
R
R
Oka
D001164:Arteriovenous Fistula / Q000151:congenital* / Q000175:diagnosis*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007223:Infant