Propranolol as a treatment for multiple coronary artery micro-fistulas.
We present a case of congenital multiple coronary artery-left ventricle micro-fistulas, which were treated with propranolol disappearing within 6 months. She had a malformative syndrome associated with a chromosomal abnormality. The treatment for coronary artery fistula includes surgical ligation and transcatheter closure, but they are not indicated in congenital micro-fistulas. We propose propranolol as a treatment in this type of diffuse fistula.
1Department of Pediatrics,Hospital Joan XXIII Tarragona,Tarragona,Spain.
María
M
Hernández
2Department of Pediatric Cardiology,Hospital Sant Joan deDèu,Barcelona,Spain.
Juan M
JM
Carretero
2Department of Pediatric Cardiology,Hospital Sant Joan deDèu,Barcelona,Spain.
Fredy
F
Prada
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D003330:Coronary Vessel Anomalies / Q000188:drug therapy*; D005260:Female; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D007231:Infant, Newborn; D011433:Propranolol / Q000627:therapeutic use*; D016157:Vascular Fistula / Q000151:congenital / Q000188:drug therapy*
D000319:Adrenergic beta-Antagonists; D011433:Propranolol
propranolol