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

Abstract

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.