Percutaneous treatment of huge congenital coronary-cameral fistula
Turk Kardiyoloji Dernegi Arsivi, cilt.42, sa.2, ss.168-173, 2014 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 42 Sayı: 2
- Basım Tarihi: 2014
- Doi Numarası: 10.5543/tkda.2014.05021
- Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.168-173
- Anahtar Kelimeler: Cardiac catheterization, child, coronary angiography, coronary vessel anomalies, echocardiography, Doppler, color, percutaneous, coronary intervention, vascular fistula.
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
An 11-year-old girl was admitted to our hospital with a history of fatigue, effort dyspnea, and chest pain. On transthoracic echocardiography, the parasternal shortaxis and apical four-chamber color Doppler flow imaging showed a structure matching the level of the coronary sinus and pouring into the right ventricle. On multi-slice computed tomography, the circumflex artery became immediately narrowed just before draining in to the base of the right ventricle, close to the septal leaflet of the tricuspid leaflet, and the Qp/Qs was 1.6. Congenital coronary-cameral fistula is an infrequent condition that establishes a direct link between coronary arteries and cardiac chambers. Although coronary artery fistulae are commonly asymptomatic, they may cause severe symptoms depending on the severity of the shunt, and may be treated medically, surgically or by transcatheter closure. In this case report, we present a patient with a huge circumflex artery-to-right ventricle fistula treated successfully with a duct occluder device. © 2014 Turkish Society of Cardiology.