Premium
Neonatal Closure of a Large Coronary‐Cameral Fistula in a Case of Single Coronary Artery: The Utility of Intraoperative Angiography
Author(s) -
Vassileva Christina M.,
BautistaHernandez Victor,
Sekhavat Sepehr,
Marshall Audrey,
Pigula Frank A.
Publication year - 2010
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2009.00957.x
Subject(s) - medicine , fistula , ligation , angiography , radiology , artery , coronary angiography , cardiology , surgery , myocardial infarction
Isolated coronary artery fistula in the newborn is a very rare congenital anomaly. When symptomatic, treatment options include surgical management with ligation and/or patch closure or transcatheter coil embolization. We describe the case of a newborn with symptomatic left coronary‐right ventricular fistula, which was managed operatively with off‐pump ligation and on‐table angiogram for confirmation of fistula obliteration and normal distribution of flow in the coronary artery. We point out the advantages of on‐table angiography to evaluate and potentially treat residual structural pathology after cardiac surgery. (J Card Surg 2010;25:228‐230)