Ann Pediatr Res | Volume 3, Issue 3 | Case Series | Open Access

Coronary Artery Fistula

Nitesh¹, Pawan K Garg², Pradeep Singh Rathore¹, Suman Kumawat¹ and Soni JP^1*

¹Department of Pediatrics, S N Medical College, India
²Department of Radiology, All India Institute of Medical Science, India

^*Correspondance to: Jai Prakash Soni 

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Abstract

Coronary Artery Fistula (CAF) is the most common coronary arterial malformation but it is a rare cardiac anomaly. Incidence of CAF is 0.002% in general population and 0.4% in all cardiacmalformations. Most patients remain asymptomatic. Only few cases of left coronary artery fistulasin infants have been reported worldwide. Here we present one case of left coronary artery fistula draining to right atrium and another case of right coronary artery fistula draining to right ventricle with sub-pericardial aneurysm giving origin to left circumflex as well as anterior descending coronary artery. Main left coronary artery absent, because of their rarity. Early diagnosis is the key for successful management and prevention of complications. Almost all cases can be correctly
diagnosed by echocardiography and color Doppler. Currently options available for treatment are conservative management, surgery and trans-catheter closure.

Citation:

Nitesh, Garg PK, Rathore PS, Kumawat S, Soni JP. Coronary Artery Fistula. Ann Pediatr Res. 2019;3(3):1028..