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Bilateral coronary arteriovenous fistulas
J Joy1, T Titus, C G Venkitachalam
1Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
Pediatric Cardiology
|April 1, 1990
Summary
This case study presents a rare instance of bilateral coronary arteriovenous fistulas (CAVFs) in a young patient. The findings highlight a single drainage point into the right ventricle (RV) despite extensive coronary artery involvement.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Coronary arteriovenous fistulas (CAVs) are uncommon congenital heart anomalies.
- Bilateral involvement of coronary arteries is particularly rare, especially in pediatric cases.
Observation:
- A 14-year-old female presented with bilateral coronary arteriovenous fistulas (CAVs).
- The fistulas involved both the right and left coronary arteries.
Findings:
- Selective coronary angiography confirmed extensive fistulous formation.
- Despite bilateral coronary artery involvement, a single communication drained into the right ventricle (RV).
Implications:
- This case underscores the diverse anatomical presentations of CAVFs.
- Understanding complex fistulous pathways is crucial for effective diagnosis and management in pediatric cardiology.
- Further research into the embryological origins and clinical progression of such rare anomalies is warranted.