[Coronary fistula associated with severe pulmonary stenosis and cianosis].
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.
Aoun
N B
NB
Hospital Universitário Pedro Ernesto, Rio de Janeiro.
Christiani
L A
LA
Magalhães
M E
ME
Succi
E
E
Meier
M A
MA
Albanesi Filho
F M
FM
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
Fístula coronariana associada à estenose pulmonar grave e cianose.