A coronary right fistula canalized in a small accessory right atrial chamber.
The coronary artery fistulas are rare congenital anomalies with a very low incidence. These can be symptomatic or asymptomatic because the hemodynamic consequences of the fistula vary and depend on the shunt dimensions. Discordant opinions instead are present in the literature for the defect closing in asymptomatic patients. Here, we describe a patient affected by a coronary right fistula canalized in a small accessory right atrial chamber. During follow-up, we observed a progressive dilatation of the right coronary artery (maximum diameter 10.3 mm) with hemodynamic overload of the right sections.
Fazio
Giovanni
G
Department of Cardiology, University of Palermo, Palermo, Italy. giovanni.fazio-aaaa@poste.it
Pipitone
Salvatore
S
Mongiovì
Maurizio
M
Sutera
Loredana
L
Zito
Rosanna
R
Novo
Salvatore
S
D002675:Child, Preschool; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging*; D004452:Echocardiography; D005260:Female; D006331:Heart Diseases / Q000209:etiology; D006337:Heart Murmurs / Q000209:etiology; D006801:Humans; D016157:Vascular Fistula / Q000150:complications / Q000000981:diagnostic imaging*