title: Right coronary artery fistula with congestive heart failure in the neonate. Doppler echocardiographic diagnosis and closure with detachable balloon.
abstract: 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.
authors.affiliation: Universidade Federal de São Paulo-Escola Paulista de Medicina, Brazil.
authors.forename: I R
authors.initials: IR
authors.lastname: Rivera
authors.forename: V A
authors.initials: VA
authors.lastname: Moises
authors.forename: A S
authors.initials: AS
authors.lastname: Tebexreni
authors.forename: C C
authors.initials: CC
authors.lastname: Silva
authors.forename: J L
authors.initials: JL
authors.lastname: Andrade
authors.forename: O
authors.initials: O
authors.lastname: Campos Filho
authors.forename: A C
authors.initials: AC
authors.lastname: Carvalho
mesh_terms: 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