Right coronary fistula and aneurysm draining to the right atrium.
In a 3-year-old boy, a continuous heart murmur was heard. The echocardiogram showed a dilated right coronary artery suggesting the existence of a coronary fistula. A more detailed echocardiogram when the patient was sedated revealed a fistula leading to a large aneurysm and further to the right atrium. The accidental dissection and thrombosis during the interventional heart catheterization resulted in a closure of the fistula. A continuous heart murmur and a dilated coronary artery are the hallmarks of coronary fistula.


CONCLUSIONS
Anatomic details of coronary fistula might be possible to see in an echocardiogram. Interventional heart catheterization is usually an adequate treatment option.
Pesonen
Erkki
E
Pediatric Cardiology, Lund University Hospital, Lund, Sweden. erkki.pesonen@skane.se
Hochbergs
Peter
P
D006328:Cardiac Catheterization; D002675:Child, Preschool; D003323:Coronary Aneurysm / Q000175:diagnosis*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis; D018618:Echocardiography, Doppler, Color; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006337:Heart Murmurs / Q000209:etiology; D006801:Humans; D008297:Male; D016157:Vascular Fistula / Q000175:diagnosis*