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.
Popoiu
Anca
A
Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Lazarettstrasse 36, 806363 München, Germany.
Eicken
Andreas
A
Genz
Thomas
T
Schreiber
Christian
C
Hess
John
J
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