Spontaneous rupture of a coronary artery fistula presenting with post-exertional syncope and haemopericardium | Zendy

Manan Desai | Zendy; Laura Olivieri | Zendy; Karthik Ramakrishnan | Zendy; Tacy Downing | Zendy

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Spontaneous 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.

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