title: Giant single left coronary artery with right ventricular fistula diagnosed in early childhood.
abstract: We present an unusual case of an 18-month-old boy, who presented with dyspnea and recurrent respiratory tract infections. Echocardiography and subsequent angiography were suggestive of a fistula from a coronary artery to the right ventricle. Finally, only on table could the actual diagnosis of a single left coronary artery with right ventricular fistula be made. Surgical treatment was successfully performed with off-pump ligation and the patient was well with no residual fistula on echocardiogram when seen at 3 month follow-up.
authors.affiliation: Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashantigram, Andhra Pradesh - 515134, India. suneilaggarwal@doctors.net.uk
authors.forename: Suneil K
authors.initials: SK
authors.lastname: Aggarwal
authors.forename: Vijay
authors.initials: V
authors.lastname: Sai
authors.forename: Neelam
authors.initials: N
authors.lastname: Desai
authors.forename: V Ramnath
authors.initials: VR
authors.lastname: Iyer
authors.forename: Choudary D
authors.initials: CD
authors.lastname: Voleti
mesh_terms: D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D014463:Ultrasonography; D016157:Vascular Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery