scholarly journals Prenatally Diagnosed Isolated Coronary Arterial Fistula Leading to Severe Complications at Birth

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
A. Wacker-Gussmann ◽  
T. Esser ◽  
S. M. Lobmaier ◽  
M. O. Vogt ◽  
E. Ostermayer ◽  
...  

Prenatal diagnosis of a huge coronary artery fistula between the left coronary artery and the right ventricle was made by Doppler echocardiography at 22 weeks of gestation. Progression of the dilated fistula was monitored throughout pregnancy. The size of the fistula increased enormously up to 11 mm. Death occurred at birth. Monitoring of these fetuses is essential as severe complications can occur during pregnancy or at birth.

2019 ◽  
Vol 29 (11) ◽  
pp. 1402-1403
Author(s):  
Tamer Yoldaş ◽  
Meryem Beyazal ◽  
Utku A. Örün

AbstractWe report an extremely rare case of a 14-month-old girl who was diagnosed with a single right coronary artery with coronary artery fistula communicating with the right ventricle and congenital absence of left coronary artery. Angiography showed a dilated and tortuous single right coronary artery draining into the right ventricle, absence of left coronary system, and left ventricular coronary circulation supplied via collateral vessels.


2012 ◽  
Vol 15 (2) ◽  
pp. 119 ◽  
Author(s):  
I. Halil Algin ◽  
Aytekin Yesilay ◽  
N. Murat Akcar

The frequency of coronary artery fistula among all coronary angiography patients is 0.1% to 0.2%; however, involvement of both the pulmonary artery and the right ventricle is a rare clinical entity. A 53-year-old man patient was admitted to our clinic with rarely occurring chest pain, palpitations, and dyspnea. A coronary angiogram showed a fistula between the left main coronary artery and both the pulmonary artery and the right ventricle. We performed a ligation of this fistula without cardiopulmonary bypass. Aorta and right ventricle sutures were made, and the proximal and distal portions of the fistula were obliterated with 5-0 Prolene sutures and previously prepared Teflon felt. The patient recovered and was discharged without any complications. The surgical indications for coronary artery fistulas are symptomatic disease, an aneurysmic coronary artery, signs of heart failure, and ischemia. The surgical options in such cases�depending on whether the fistula is complicated or not�are simple ligation or transarterial ligation under cardiopulmonary bypass.


2019 ◽  
Vol 10 (5) ◽  
pp. 643-644
Author(s):  
Yoshikazu Ono ◽  
Takaya Hoashi ◽  
Kenichi Kurosaki ◽  
Hajime Ichikawa

A patient was born with truncus arteriosus type 2, left aortic arch, anomalous origin of arch vessels, left coronary artery from the right common carotid artery, and multiple extracardiac anomalies. Surgery involving translocation of the left coronary artery to the truncal root, division of branch pulmonary arteries from the truncal artery, and right ventricle-to-branch pulmonary arteries conduit placement was performed at the age of four months. Closure of the ventricular septal defect using a one-way fenestrated patch and conduit upsizing was performed successfully when the patient reached four years of age.


1995 ◽  
Vol 24 (4) ◽  
pp. 257-259
Author(s):  
Takashi Ono ◽  
Fumio Iwaya ◽  
Tuguo Igari ◽  
Kenichi Hagiwara ◽  
Masahiro Tanji ◽  
...  

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