title: [Coronary fistula associated with severe pulmonary stenosis and cianosis].
abstract: A 17 year old male adolescent was admitted to the hospital due to dyspnea and cyanosis, since the age of 6 years. On physical examination, it was found a continuous murmur over the left esternal border at the 4th and 5th intercostal spaces suggesting a coronary fistula. A color-echocardiogram associated with an angiography confirmed the diagnosis of coronary fistula and severe pulmonary stenosis. The functional consequence was a right to left shunt with cyanosis. A surgical repair was performed with closure of the fistula at the point where it drained into the right ventricle plus a pulmonary commissurotomy. The patient had an uneventful recovery.
authors: Hospital Universitário Pedro Ernesto, Rio de Janeiro.
authors: N B
authors: NB
authors: Aoun
authors: L A
authors: LA
authors: Christiani
authors: M E
authors: ME
authors: Magalhães
authors: E
authors: E
authors: Succi
authors: M A
authors: MA
authors: Meier
authors: F M
authors: FM
authors: Albanesi Filho
mesh_terms: D000293:Adolescent; D001027:Aortography; D003327:Coronary Disease / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D003490:Cyanosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004452:Echocardiography; D004562:Electrocardiography; D005402:Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011379:Prognosis; D011666:Pulmonary Valve Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
vernacular_title: Fístula coronariana associada à estenose pulmonar grave e cianose.