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Murine Fetal Echocardiography
08:04

Murine Fetal Echocardiography

Published on: February 15, 2013

Congenital fistula between the left ventricle and coronary sinus: elucidation by colour Doppler flow mapping

J P Gnanapragasam1, A B Houston, S Lilley

  • 1Department of Cardiology, Royal Hospital for Sick Children, Glasgow.

British Heart Journal
|November 1, 1989
PubMed

Insights

A rare congenital fistula between the left ventricle and coronary sinus was found in a child with mitral regurgitation. This congenital abnormality, unlike acquired cases, has not been previously documented.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Mitral regurgitation can be caused by various factors, including valve disease and myocardial damage.
  • Acquired fistulas between the left ventricle and coronary sinus are known complications of cardiac surgery and infarction.
  • Congenital heart anomalies require accurate diagnosis and understanding of their origins.

Observation:

  • A child presented with clinical signs suggestive of mitral regurgitation.
  • Diagnostic imaging revealed a fistula connecting the left ventricle to the coronary sinus.
  • The patient was asymptomatic apart from the signs of mitral regurgitation.

Findings:

  • Doppler echocardiography successfully diagnosed a left ventricle-coronary sinus fistula.
  • Cardiac catheterization confirmed the diagnosis of this rare anomaly.
  • This specific type of fistula was determined to be congenital in origin.

Implications:

  • This case highlights a previously undescribed congenital fistula between the left ventricle and coronary sinus.
  • The findings expand the spectrum of congenital heart defects.
  • Further research may elucidate the embryological basis and long-term management of such congenital fistulas.

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