title: [Congenital coronary fistula. Clinical presentation in 7 cases and literature review].
abstract: Congenital coronary artery fistulas are uncommon anomalies, however themselves may resemble the whole spectrum of cardiac manifestations. Clinical presentations vary considerably from adults to children.
  
  
  METHODS
  patients with coronary artery fistula diagnosed by selective coronariography in the period from 2000 to 2007 were included.
  
  
  RESULTS
  7 cases were found, 4 children, mean age 6.5 years, and 3 adults, mean age 25.6 years. The fistulae originate from the left coronary artery in 3 children, 2 connect to the pulmonary artery an one to the right atrium, in one child the fistula originated from the right coronary artery and terminated at the right ventricle. In the 3 adult patients, the fistula originated from the right ventricle, two connected to the right ventricle and one to the coronary sinus. Two children were operated on successfully and are asymptomatic 1 and 4 years later. In an adult patient with surgical ligation was performed, 4 weeks later developed an uncomplicated myocardial infarction. We reviewed the literature available and were compared with our cases.
  
  
  CONCLUSIONS
  The clinical manifestations and hemodynamic features differ in childhood and adulthood. Coronary angiography is the primary diagnostic tool. Surgical treatment has low mortality and morbidity.
authors.affiliation: Servicio de Cardiopatías Congénitas, Hospital de Cardiología, Centro Médico Nacional Siglo XXI (CMN Siglo XXI), Instituto Mexicano del Seguro Social, México, D.F. México.
authors.forename: Alfa Larissa
authors.initials: AL
authors.lastname: Nava-Oliva
authors.forename: Felipe
authors.initials: F
authors.lastname: David-Gómez
authors.forename: Arturo
authors.initials: A
authors.lastname: Martínez-Sánchez
authors.forename: José
authors.initials: J
authors.lastname: Ortegón-Cardeña
authors.forename: Santiago
authors.initials: S
authors.lastname: Jiménez-Arteaga
authors.forename: Diana
authors.initials: D
authors.lastname: López-Gallegos
authors.forename: Luceli
authors.initials: L
authors.lastname: Yáñez-Gutiérrez
authors.forename: Carlos
authors.initials: C
authors.lastname: Riera
authors.forename: Carlos
authors.initials: C
authors.lastname: Alva
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D011859:Radiography; D016157:Vascular Fistula / Q000151:congenital* / Q000000981:diagnostic imaging* / Q000601:surgery; D055815:Young Adult