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Early and late presentation of coronary artery fistula: a possible natural progression?

Published online by Cambridge University Press:  10 September 2019

Nicholas B. Zaban Open the ORCID record for Nicholas B. Zaban [Opens in a new window] ,
Huda Elshershari  and
Mark H. Hoyer Open the ORCID record for Mark H. Hoyer [Opens in a new window]
Nicholas B. Zaban
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA
Huda Elshershari
Affiliation:
Department of Pediatrics, Deaconess Riley Children’s Specialty Center, Indiana University School of Medicine, Evansville, IN, USA
Mark H. Hoyer*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA
*
Author for correspondence: M. H. Hoyer, Division of Pediatric Cardiology, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, 705 Riley Hospital Drive, Suite RR 127, Indianapolis, IN 46254, USA. Tel: 317-274-8906; Fax: 317-274-4022; E-mail: mhoyer@iu.edu
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Abstract

We present two patients, one 10 years old and another 43 years old, who both had successful transcatheter closure of left main coronary artery to right atrium fistulas. The older patient had a larger fistula as well as more symptoms and a complicated post-procedure course. Closure of medium or large coronary artery fistulas should be considered at younger ages to minimise future complications.

Keywords

Coronary anomalyfistula-shuntsCHD adultsCHD paediatricspaediatric intervention
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 11 , November 2019 , pp. 1407 - 1409
Copyright
© Cambridge University Press 2019 

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