Open AccessSpontaneous rupture of a coronary artery fistula presenting with post-exertional syncope and haemopericardium
Author(s) -
Manan Desai,
Laura Olivieri,
Karthik Ramakrishnan,
Tacy Downing
Publication year - 2020
Publication title -
interactive cardiovascular and thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 56
eISSN - 1569-9293
pISSN - 1569-9285
DOI - 10.1093/icvts/ivaa317
Subject(s) - medicine , asymptomatic , fistula , cardiology , complication , syncope (phonology) , surgery
An 8-year-old with a known diagnosis of an asymptomatic coronary artery fistula (CAF) presented with exertional syncope and haemopericardium due to contained rupture of CAF. A transcatheter closure was attempted, but the fistula ruptured again prompting emergency surgical repair. Spontaneous rupture is a catastrophic complication of CAF and warrants a high index of suspicion, timely diagnosis and team management.