Erschienen in:
01.09.2014 | Image of the month
A single coronary artery with a right ventricular fistula
Unique therapy with covered-stent implantation
verfasst von:
A. Katona, MD, I. Ungi, MD, PhD, T. Forster, MD, PhD, M. Katona, MD, PhD, A. Nemes, MD, PhD, FESC
Erschienen in:
Herz
|
Ausgabe 6/2014
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Excerpt
Congenital single coronary arteries comprise about 0.04 % of congenital cardiac anomalies, while coronary fistulas account for 0.27–0.40 % of all congenital cardiac defects [
1]. The case of an 8-year-old boy is presented, who was admitted to hospital because of recurrent flu symptoms. He had a single coronary artery (SCA; Smith type II) with a right ventricular (RV) fistula at the apex that was first diagnosed at the age of 3 years by echocardiography. On his recent admission, coronary angiography was performed showing a severe shunt through a fistula, which could be responsible for the clinical signs and poor development of the child. A ligature operation was performed, but the echocardiographic signs of shunt did not disappear. Repeat coronary angiography confirmed an unrelieved fistula, and therefore a covered-stent implantation was performed. At 1-year follow-up, no RV strain or turbulence could be detected. To the best of the authors’ knowledge, this is the first report of a covered-stent implantation used to treat a patient with SCA-RV fistula (
Fig. 1,
Fig. 2). …
