Right coronary artery fistula with congestive heart failure in the neonate. Doppler echocardiographic diagnosis and closure with detachable balloon.
We report here a case of coronary artery fistula in a neonate with clinical signs of heart failure. The electrocardiogram showed signs of left ventricular hypertrophy and diffuse alterations in ventricular repolarization. Chest X-ray showed an enlargement of the cardiac silhouette with an increase in pulmonary flow. After echocardiographic diagnosis and angiographic confirmation, closure of the fistulous trajectory was performed with a detachable balloon with an early and late successful outcome.
Rivera
I R
IR
Universidade Federal de São Paulo-Escola Paulista de Medicina, Brazil.
Moises
V A
VA
Tebexreni
A S
AS
Silva
C C
CC
Andrade
J L
JL
Campos Filho
O
O
Carvalho
A C
AC
D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002404:Catheterization / Q000379:methods; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D015150:Echocardiography, Doppler; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male