title: [Left to right shunt for congenital coronary arterio-venous fistulas].
abstract: Congenital coronary artery fistulas are rare malformations that may evolve to pulmonary hypertension, heart failure and myocardial ischemia, although some may close spontaneously. Complications such as endocarditis, rupture, aneurysm or thrombosis may also be observed. Most patients are asymptomatic and the fistulas are usually detected by doppler echocardiography and angiography. We report the case of an asymptomatic 10-year-old male who was submitted because he of a heart murmur, and three coronary fistulas were diagnosed. Two originated in the left coronary artery draining into the right ventricle and the other origin was in the right coronary artery draining into the pulmonary artery trunk.
authors.affiliation: Servicio de Cardiología. Hospital Universitario Dr. Peset. Valencia.
authors.forename: P
authors.initials: P
authors.lastname: Baello
authors.forename: B
authors.initials: B
authors.lastname: Sevilla
authors.forename: I
authors.initials: I
authors.lastname: Roldán
authors.forename: V
authors.initials: V
authors.lastname: Mora
authors.forename: M
authors.initials: M
authors.lastname: Almela
authors.forename: A
authors.initials: A
authors.lastname: Salvador
mesh_terms: D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical; D002648:Child; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D014463:Ultrasonography