6533b7d1fe1ef96bd125c4a1

RESEARCH PRODUCT

A coronary right fistula canalized in a small accessory right atrial chamber.

Giovanni FazioSalvatore NovoSalvatore PipitoneRosanna ZitoLoredana SuteraMaurizio Mongiovì

subject

medicine.medical_specialtyHeart DiseasesFistulaHemodynamicsCoronary Artery DiseaseRight atrialAsymptomaticInternal medicinemedicine.arterymedicineHumansVascular FistulaHeart Murmursbusiness.industryPatient affectedGeneral Medicinemedicine.diseaseShunt (medical)medicine.anatomical_structureEchocardiographyRight coronary arteryChild PreschoolCardiologyFemalemedicine.symptomCardiology and Cardiovascular MedicinebusinessArtery

description

The coronary artery fistulas are rare congenital anomalies with a very low incidence. These can be symptomatic or asymptomatic because the hemodynamic consequences of the fistula vary and depend on the shunt dimensions. Discordant opinions instead are present in the literature for the defect closing in asymptomatic patients. Here, we describe a patient affected by a coronary right fistula canalized in a small accessory right atrial chamber. During follow-up, we observed a progressive dilatation of the right coronary artery (maximum diameter 10.3 mm) with hemodynamic overload of the right sections.

http://hdl.handle.net/10447/23933