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KMID : 1130320080510101118
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Korean Journal of Pediatrics
2008 Volume.51 No. 10 p.1118 ~ p.1122
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Coronary artery fistula associated with single coronary artery
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Kim Seong-Man
Song Min-Sub
Cho Kwang-Hyun
Kim Chul-Ho
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Abstract
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A case of a single coronary artery complicated with a coronary artery fistula (CAF) to the right ventricle is extremely rare, and its management strategy and prognosis are not clear. A 5-year-old boy was hospitalized for evaluation of a continuous heart murmur. Transthoracic echocardiography suggested a CAF to the right ventricle, with an enlarged left coronary artery. Cardiac catheterization confirmed the CAF terminating at the right ventricle and the absence of a right coronary artery. The fistula was ligated at the right ventricular side under cardiopulmonary bypass. At follow-up 18 months later, the child was clinically asymptomatic, and coronary angiogram showed no recurrence of the fistula.
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KEYWORD
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Coronary vessel anomalies, Arteriovenous fistula, Child, Cardiac surgery
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