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Right coronary fistula and aneurysm draining to the right atrium

Erkki Pesonen1, Peter Hochbergs

  • 1Pediatric Cardiology, Lund University Hospital, Lund, Sweden. erkki.pesonen@skane.se

Acta Paediatrica (Oslo, Norway : 1992)
|June 25, 2009
PubMed

Insights

A continuous heart murmur in a child indicated a coronary fistula, a condition where a blood vessel bypasses the heart. Echocardiography diagnosed the fistula, and interventional catheterization successfully closed it.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Diagnostic Imaging

Background:

  • Coronary fistulas are rare congenital anomalies.
  • A continuous heart murmur can be an indicator of abnormal blood flow, including coronary fistulas.

Observation:

  • A 3-year-old boy presented with a continuous heart murmur.
  • Echocardiography revealed a dilated right coronary artery, suggesting a coronary fistula.
  • Further echocardiography identified the fistula extending to the right atrium via an aneurysm.

Findings:

  • Echocardiography provided detailed anatomic visualization of the coronary fistula.
  • Accidental dissection and thrombosis during interventional heart catheterization led to fistula closure.

Implications:

  • Echocardiography is a valuable tool for diagnosing coronary fistulas.
  • Interventional heart catheterization can be an effective treatment for coronary fistulas.
Abstract

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