Neonatal closure of a large coronary-cameral fistula in a case of single coronary artery: the utility of intraoperative angiography.
Isolated coronary artery fistula in the newborn is a very rare congenital anomaly. When symptomatic, treatment options include surgical management with ligation and/or patch closure or transcatheter coil embolization. We describe the case of a newborn with symptomatic left coronary-right ventricular fistula, which was managed operatively with off-pump ligation and on-table angiogram for confirmation of fistula obliteration and normal distribution of flow in the coronary artery. We point out the advantages of on-table angiography to evaluate and potentially treat residual structural pathology after cardiac surgery.
Vassileva
Christina M
CM
Department of Cardiac Surgery, Children's Hospital Boston, Boston, Massachusetts 02115, USA.
Bautista-Hernandez
Victor
V
Sekhavat
Sepehr
S
Marshall
Audrey
A
Pigula
Frank A
FA
D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000000981:diagnostic imaging* / Q000628:therapy; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D003327:Coronary Disease / Q000151:congenital / Q000000981:diagnostic imaging* / Q000628:therapy; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000628:therapy; D004621:Embolization, Therapeutic; D006801:Humans; D007231:Infant, Newborn; D008026:Ligation; D008297:Male; D016343:Monitoring, Intraoperative