Giant single left coronary artery with right ventricular fistula diagnosed in early childhood
Suneil K Aggarwal1, Vijay Sai, Neelam Desai
1Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashantigram, Andhra Pradesh - 515134, India. suneilaggarwal@doctors.net.uk
Abstract:
We present an unusual case of an 18-month-old boy, who presented with dyspnea and recurrent respiratory tract infections. Echocardiography and subsequent angiography were suggestive of a fistula from a coronary artery to the right ventricle. Finally, only on table could the actual diagnosis of a single left coronary artery with right ventricular fistula be made. Surgical treatment was successfully performed with off-pump ligation and the patient was well with no residual fistula on echocardiogram when seen at 3 month follow-up.
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