title: An elephant trunk appearance-what is the diagnosis?
abstract: Coronary cameral fistula is a rare congenital cardiac abnormality. An 18-year-old boy presented with features of right heart volume overload. Clinical examination was suggestive of hyperdynamic circulation with continuous murmur in precordium. 2D echocardiography showed dilated right coronary artery, and 3D echocardiography added information in tracing the track of the fistula which was consistent with the diagnosis of right coronary cameral fistula draining into the right ventricle. Coronary angiograms revealed an unusually dilated right coronary artery giving the appearance of an "elephant trunk" and with a fistulous tract into the right ventricle. Considering the higher risks of surgery in such difficult cases, we performed a successful transcatheter closure of the fistula using an Amplatzer vascular plug.
authors: Department of Cardiology, Sanjay Gandhi PostGraduate Institute of Medical Sciences, Lucknow, India. drroopalik@gmail.com.
authors: Roopali
authors: R
authors: Khanna
authors: Department of Cardiology, Sanjay Gandhi PostGraduate Institute of Medical Sciences, Lucknow, India.
authors: Deepchandh
authors: D
authors: Raja
authors: Department of Cardiology, Sanjay Gandhi PostGraduate Institute of Medical Sciences, Lucknow, India.
authors: Pravin K
authors: PK
authors: Goel
mesh_terms: D000293:Adolescent; D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000628:therapy; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D055989:Septal Occluder Device; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000000981:diagnostic imaging* / Q000628:therapy
keywords: Amplatzer vascular plug; continuous murmur; coronary cameral fistula; massive cardiomegaly