Regression of a coronary arterial fistula in an infant with pulmonary atresia and an intact ventricular septum.
This report describes a premature newborn with pulmonary atresia and an intact ventricular septum who presented with a significant fistula between the right ventricle and the left anterior descending coronary artery (LAD). The right ventricle was not decompressed to prevent myocardial damage. After 2 months, the fistula had closed spontaneously. The pulmonary valve was opened, and biventricular circulation was achieved.
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Lazarettstrasse 36, 806363 München, Germany.
Anca
A
Popoiu
Andreas
A
Eicken
Thomas
T
Genz
Christian
C
Schreiber
John
J
Hess
D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging; D005402:Fistula / Q000000981:diagnostic imaging; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D018633:Pulmonary Atresia; D012075:Remission, Spontaneous