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An unusual presentation of right coronary artery fistula
1Division of Pediatric Cardiology, Hadassah-Hebrew University Hospital, Jerusalem, Israel.
British Heart Journal
|May 1, 1988
Insights
A rare case of infective endocarditis in a child caused facial swelling due to a coronary artery fistula obstructing the superior vena cava. Surgical repair resolved the obstruction and symptoms.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Infective Endocarditis
Background:
- Facial swelling can be an unusual presenting symptom in pediatric cardiovascular conditions.
- Infective endocarditis, though rare in children, requires prompt diagnosis and management.
- Coronary artery fistulas can lead to significant hemodynamic complications.
Abstract:
A four year old girl with infective endocarditis had unexplained facial swelling. Cross sectional echocardiography showed that a large right coronary artery fistula to the right atrium was obstructing the distal superior vena cava. The diagnosis was confirmed by cardiac catheterisation and at operation. The child was symptom free one year after operation.