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Congenital fistula of the right coronary artery-left ventricle--a case report
The Japanese Journal of Surgery
|June 1, 1978
Insights
A rare right coronary artery-left ventricle fistula was suspected in a pediatric patient via cardiac catheterization and angiography. Surgical repair (arteriorrhaphy with ligation) resulted in a successful outcome, with the patient remaining healthy post-operation.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Coronary artery fistulae are uncommon cardiac anomalies.
- Right coronary artery-left ventricle fistulae are particularly rare, posing diagnostic challenges.
Observation:
- A 10-year-old female presented with symptoms suggestive of a rare coronary artery anomaly.
- Diagnostic imaging, including cardiac catheterization, ascending aortogram, and selective coronary angiogram, was employed.
- These investigations led to the suspicion of a right coronary artery-left ventricle fistula.
Findings:
- The diagnostic procedures confirmed the presence of a right coronary artery-left ventricle fistula.
- Surgical intervention, specifically arteriorrhaphy with additional ligation, was performed to address the fistula.
Implications:
- Successful surgical management of this rare fistula in a pediatric patient demonstrates effective treatment strategies.
- The case highlights the importance of advanced imaging in diagnosing uncommon congenital heart defects.
- Long-term follow-up confirmed the patient's sustained good health, validating the surgical approach.
Abstract:
While the incidence of right coronary artery-left ventricle fistulae is low, cardiac catheterization, ascending aortogram and selective coronary angiogram led us to suspect the presence of such a fistula in a 10-year old female patient. Arteriorrhaphy with additional ligation was performed and the patient is in good health more than one year after surgery.