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Propranolol as a treatment for multiple coronary artery micro-fistulas
María Hernández1, Juan M Carretero2, Fredy Prada2
11Department of Pediatrics,Hospital Joan XXIII Tarragona,Tarragona,Spain.
Abstract:
We present a case of congenital multiple coronary artery-left ventricle micro-fistulas, which were treated with propranolol disappearing within 6 months. She had a malformative syndrome associated with a chromosomal abnormality. The treatment for coronary artery fistula includes surgical ligation and transcatheter closure, but they are not indicated in congenital micro-fistulas. We propose propranolol as a treatment in this type of diffuse fistula.
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