title: Neonatal closure of a large coronary-cameral fistula in a case of single coronary artery: the utility of intraoperative angiography.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Children's Hospital Boston, Boston, Massachusetts 02115, USA.
authors.forename: Christina M
authors.initials: CM
authors.lastname: Vassileva
authors.forename: Victor
authors.initials: V
authors.lastname: Bautista-Hernandez
authors.forename: Sepehr
authors.initials: S
authors.lastname: Sekhavat
authors.forename: Audrey
authors.initials: A
authors.lastname: Marshall
authors.forename: Frank A
authors.initials: FA
authors.lastname: Pigula
mesh_terms: 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