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Large congenital coronary arteriovenous fistula between the left main coronary artery and right superior vena cava, associated with aneurysmal dilatation of the left main coronary artery: rare case report

Published online by Cambridge University Press:  15 July 2014

Naveen Chandra G. S. ,
Achyut Sarkar  and
Arindam Pande
Naveen Chandra G. S.*
Affiliation:
Department of Cardiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
Achyut Sarkar
Affiliation:
Department of Cardiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
Arindam Pande
Affiliation:
Department of Cardiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
*
Correspondence to: Dr G. S. Naveen Chandra, MD, DM, S/o Sanjeeva Ganiga, Prabhath, Gandhi Nagar, Ambalapady Bypass, Udupi 576103, Karnataka, India. Tel: +08202533966; Fax: +91-820-2571934; E-mail: drnaveenchandrags@gmail.com
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Abstract

Coronary arteriovenous fistula is an uncommon clinical entity. The right coronary artery is the most common site of origin, and the fistula commonly drains into the right-sided cardiac chambers. Very rarely it can arise from the left main coronary artery, and fistulas draining into the superior vena cavity are extremely rare. We report a 12-year-old asymptomatic boy with a large coronary arteriovenous fistula between the left main coronary artery and superior vena cava, with aneurysmal dilatation of the left main coronary artery. As the fistula was very large and to prevent its complications, it was planned to close the fistula percutaneously.

Keywords

Fistulaaneurysmcoronary
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 25 , Supplement 1 , January 2015 , pp. 143 - 145
Copyright
© Cambridge University Press 2014 

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References

1. Fernandes, ED, Kadivar, H, Hallman, FI, Reul, GJ, Ott, DA, Cooley, DA. Congenital malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 1992; 54: 732–740.CrossRefGoogle ScholarPubMed
2. Dodge-Khatami, A, Mavroudis, C, Backer, CL. Congenital Heart Surgery Nomenclature and Database Project: anomalies of the coronary arteries. Ann Thorac Surg 2000; 69: 270–297.CrossRefGoogle ScholarPubMed
3. Levin, DC, Fellows, KE, Abrams, HL. Hemodynamically significant primary anomalies of the coronary arteries. Angiographic aspects. Circulation 1978; 58: 25–34.CrossRefGoogle ScholarPubMed
4. Vitarelli, A, De Curtis, G, Conde, Y, et al. Assessment of congenital coronary artery fistulas by transesophageal color Doppler echocardiography. Am J Med 2002; 113: 127–133.CrossRefGoogle ScholarPubMed
5. Aydogan, U, Onursal, E, Cantez, T, Barlas, C, Tanman, B, Gurgan, L. Giant congenital coronary artery fistula to left superior vena cava and right atrium with compression of left pulmonary vein simulating cor triatratum: diagnostic value of magnetic resonance imaging. Eur J Cardiovasc Surg 1994; 8: 97–99.CrossRefGoogle Scholar
6. Ropers, D, Moshage, W, Daniel, WG, Jessl, J, Gottwik, M, Achenbach, S. Visualization of coronary artery anomalies and their anatomic course by contrast-enhanced electron beam tomography and three dimensional reconstruction. Am J Cardiol 2001; 15: 193–197.CrossRefGoogle Scholar
7. Urrutia-S, CO, Falaschi, G, Ott, DA, Cooley, DA. Surgical management of 56 patients with congenital coronary artery fistulas. Ann Thorac Surg 1983; 35: 300–307.CrossRefGoogle ScholarPubMed
8. Balanescu, S, Sangiorgi, G, Castelvecchio, S, Medda, M, Inglese, L. Coronary artery fistulas: clinical consequences and methods of closure: a literature review. Ital Heart J 2001; 2: 669–676.Google ScholarPubMed
9. Perry, SB, Rome, J, Keane, JF, Baim, DS, Lock, IE. Transcatheter closure of coronary artery fistulas. J Am Coll Cardiol 1992; 20: 201–209.CrossRefGoogle ScholarPubMed