Congenital coronary artery fistula draining into the right ventricle: successful surgical closure after failed transcatheter coil embolization.
Coronary artery aneurysms and fistulae are very rare congenital anomalies. They occur in 0.2-0.4 % of all congenital heart diseases. In this article, we report a case of a four-year-old girl with a right coronary artery aneurysm and fistula draining into the right ventricle. Since the transcatheter coil embolization was not successful, surgical occlusion was considered in this case. We describe and discuss the handling of the fistula and the aneurysmatic enlargement of the proximal coronary artery.
Center of Cardiac Surgery, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany. thomas.strecker@herz.imed.uni-erlangen.de
T
T
Strecker
L
L
Hakami
H
H
Singer
M
M
Weyand
R
R
Cesnjevar
D006328:Cardiac Catheterization; D002675:Child, Preschool; D003323:Coronary Aneurysm / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D004452:Echocardiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006352:Heart Ventricles / Q000002:abnormalities / Q000000981:diagnostic imaging; D006801:Humans; D017211:Treatment Failure; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000151:congenital* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy