Right coronary fistula and aneurysm draining to the right atrium

  1. Erkki Pesonen1,
  2. Peter Hochbergs2

Article first published online: 22 JUN 2009

DOI: 10.1111/j.1651-2227.2009.01359.x

Issue

Acta Paediatrica

Acta Paediatrica

Volume 98, Issue 9, pages 1530–1531, September 2009

Additional Information

How to Cite

Pesonen, E. and Hochbergs, P. (2009), Right coronary fistula and aneurysm draining to the right atrium. Acta Paediatrica, 98: 1530–1531. doi: 10.1111/j.1651-2227.2009.01359.x

Author Information

  1. 1

    Pediatric Cardiology, Lund University Hospital, Lund, Sweden

  2. 2

    Center of Medical Imaging and Physiology, Lund University Hospital, Lund, Sweden

*Erkki Pesonen, M.D., Pediatric Cardiology, Lund University Hospital, SE-22185 Lund, Sweden. Tel: +46-46-178-280 | Fax: +46-46-177-051 | Email: erkki.pesonen@skane.se

Publication History

  1. Issue published online: 27 JUL 2009
  2. Article first published online: 22 JUN 2009
  3. Received 26 March 2009; revised 9 April 2009; accepted 27 April 2009.

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Keywords:

  • Congenital cardiovascular malformations;
  • Coronary thrombosis;
  • Echocardiography;
  • Intervention

Abstract

In a 3-year-old boy, a continuous heart murmur was heard. The echocardiogram showed a dilated right coronary artery suggesting the existence of a coronary fistula. A more detailed echocardiogram when the patient was sedated revealed a fistula leading to a large aneurysm and further to the right atrium. The accidental dissection and thrombosis during the interventional heart catheterization resulted in a closure of the fistula. A continuous heart murmur and a dilated coronary artery are the hallmarks of coronary fistula.

Conclusion:  Anatomic details of coronary fistula might be possible to see in an echocardiogram. Interventional heart catheterization is usually an adequate treatment option.

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