Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2010 Jul;25(3):e004.
doi: 10.5001/omj.2010.73.

Coronary Artery Fistula with Heart Failure in Early Infancy

Salim Al-Maskari  1 , Prashanth Panduranga  1 , Abdulla Al-Farqani  1
Affiliations
Case Reports

Coronary Artery Fistula with Heart Failure in Early Infancy

Salim Al-Maskari et al. Oman Med J. 2010 Jul.

Abstract

Heart failure in early infancy is commonly caused by lesions leading to pulmonary over circulation secondary to left-to-right shunt. This case report describes an unusual cause of significant left-to-right shunt in a 2 months old infant presenting with congestive heart failure, which was diagnosed with transthoracic echocardiography. In this infant, transthoracic echocardiography with Doppler color flow mapping allowed direct visualization of a large right coronary artery to right ventricular fistula that was surgically corrected successfully.

Keywords: Coronary AV Fistula; Echocardiography; Heart Failure.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Transthoracic echocardiography showing grossly dilated right coronary artery in an infant with coronary-cameral fistula. LA=Left atrium; AO=Aorta; RCA=Right coronary artery.
Figure 2
Figure 2
(A) Transthoracic echocardiography showing connection of right coronary fistula into right ventricle. (B) Color Doppler shows turbulent blood flow communicating between the right coronary artery and right ventricle. LV=Left ventricle. RV=Right ventricle.
Figure 3
Figure 3
Ascending aortogram showing a large dilated right coronary artery with two fistulous exit openings (arrow heads) into the right ventricle.
See this image and copyright information in PMC

References

    1. Levin DC, Fellows KE, Abrams HL. Hemodynamically significant primary anomalies of the coronary arteries. Angiographic aspects. Circulation 1978. Jul;58(1):25-34. 10.1161/01.CIR.58.1.25 - DOI - PubMed
    1. Said SA, el Gamal MI, van der Werf T. Coronary arteriovenous fistulas: collective review and management of six new cases–changing etiology, presentation, and treatment strategy. Clin Cardiol 1997. Sep;20(9):748-752. 10.1002/clc.4960200907 - DOI - PMC - PubMed
    1. Sunder KR, Balakrishnan KG, Tharakan JA, Titus T, Pillai VR, Francis B, et al. . Coronary artery fistula in children and adults: a review of 25 cases with long-term observations. Int J Cardiol 1997. Jan;58(1):47-53. 10.1016/S0167-5273(96)02792-1 - DOI - PubMed
    1. Liberthson RR, Sagar K, Berkoben JP, Weintraub RM, Levine FH. Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation 1979. May;59(5):849-854. 10.1161/01.CIR.59.5.849 - DOI - PubMed
    1. Gowda RM, Vasavada BC, Khan IA. Coronary artery fistulas: clinical and therapeutic considerations. Int J Cardiol 2006. Feb;107(1):7-10. 10.1016/j.ijcard.2005.01.067 - DOI - PubMed

Publication types

LinkOut - more resources