All issues > Volume 51(10); 2008

Case Report

Korean J Pediatr. 2008;51(10):1118-1122. Published online October 15, 2008.

Coronary artery fistula associated with single coronary artery

Seong Man SM Kim¹, Min Seob MS Song², Kwang Hyun KH Cho³, Chul Ho CH Kim¹

¹Department of Cardiology, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea
²Department of Pediatrics, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea
³Department of Cardiothoracic Surgery, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea

Correspondence Min Seob MS Song ,Email: msped@hanmail.net

Abstract

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.

Keywords :Coronary vessel anomalies, Arteriovenous fistula, Child, Cardiac surgery