Ünal AYDIN, Onur ŞEN, İhsan BAKIR, Burak ONAN, İsmihan Selen ONAN

Coronary-cameral fistula between left anterior descending artery and right atrium in childhood: a case report

Koroner arter fistülleri koroner arterlerin sonlanma anormallikleridir. Sağ kalp boşluklarını tutan fistüller, sol kalp boşluklarını tutan fistüllerden daha sık görülmektedir. Koroner-kameral fistül oluşumu pediatrik hastalarda nadirdir. Hastalar genellikle asemptomatiktir ve eşlik eden semptomlar ileri yaşlarda görülebilir. Patoloji iki boyutlu ekokardiyografi, kalp kateterizasyonu ve bilgisayarlı tomografi ile tanılanır. Konjestif kalp yetersizliği, endokardit, miyokard iskemisi/enfarktüsü, pulmoner hipertansiyon ile koroner anevrizmaya sekonder rüptür ve embolizasyon riski nedeniyle, erken tedavi önerilmektedir. Bu yazıda, sol ön inen arter ve sağ atriyum arasında yerleşimli dev koroner arter fistülü olan ve cerrahi ile başarılı bir şekilde tedavi edilen 11 yaşında bir kız çocuğu sunuldu

Çocukluk çağında sol ön inen arter ve sağ atriyum arasında koroner-kameral fistül: Olgu sunumu

Coronary artery fistulas are abnormalities of artery termination. The fistulas involving the right heart chambers are more common than those involving the left heart chambers. The occurrence of a coronary-cameral fistula in pediatric patients is unusual. Patients are mostly asymptomatic and presenting symptoms may occur at older ages. The pathology is diagnosed by two-dimensional echocardiography, cardiac catheterization, and computed tomographic angiography. Early treatment is recommended due to the risk of congestive heart failure, endocarditis, myocardial ischemia/infarction, pulmonary hypertension, and coronary aneurysm formation with subsequent ruptures or embolization. Herein, we present an 11-year-old girl in whom a giant coronary artery fistula localized between the left anterior descending artery and the right atrium was successfully treated.

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