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A neonatal case of congenital coronary artery fistula.

Ismail, Abdul Qader Tahir and Gandhi, Anjum and Desai, Tarak and Stumper, Oliver (2012) A neonatal case of congenital coronary artery fistula. BMJ case reports, 2012. ISSN 1757-790X.

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Official URL: http://casereports.bmj.com/cgi/pastseven?fdate=2/6...

Abstract

Coronary artery fistulae (CAF) are rare forms of congenital heart disease with an incidence of one in 50 000 live births. The authors present the case of an asymptomatic neonate with a precordial murmur. Pre and postductal saturations, blood pressure and ECG were normal. Echocardiography revealed a large right coronary artery fistula to the right ventricle (4.5 mm). At 11 months, transcatheter occlusion of the fistula with a vascular plug was performed. A year on, the child was thriving, ECG and echocardiogram remained normal. CAF complications and symptoms (including aneurysm, myocardial ischaemia, angina, heart failure and dyspnoea) are commoner in older patients, so traditionally we intervene early. With increasing case reports of spontaneous closure of even large and symptomatic fistulae, management of especially asymptomatic children is unclear. Long-term complications of intervention also remain largely unknown. As such more information is required on the conditions natural history to better manage patients and counsel parents.

Item Type: Article
Subjects: WS Paediatrics. Child health
Divisions: Womens and Childrens > Paediatrics
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 18 Aug 2014 12:31
Last Modified: 18 Aug 2014 12:31
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/445

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