Coronary Cameral Fistula in a Nigerian Infant: An Uncommon Cause of Continuous Murmur
Journal Title: Journal of Clinical Cardiology and Cardiac Therapy - Year 2016, Vol 1, Issue 1
Abstract
A coronary artery fistula involves a sizeable communication between one of the coronary arteries and a cardiac chamber (coronary cameral fistula) or a vein (coronary arteriovenous fistula). Coronary fistulae account for 0.2 to 0.4% of the congenital cardiac abnormalities, and about 50% of the Paediatric coronary vasculature abnormalities. Sixty percent of these fistulae arise from the right coronary artery and terminate mostly (90%) in the right side of the heart. The most frequent sites of termination are, the right ventricle, right atrium, coronary sinus, and the pulmonary vasculature. Most children with coronary artery fistulae (CAF) are asymptomatic, and continuous murmur may be audible on routine examinations. The majority of these patients present in adulthood and are usually asymptomatic, often being detected accidentally. The authors are unaware of any case previously reported in a Nigerian child and hence report the case of a 3month old boy for its rarity and interest. The girl was referred for evaluation of a cardiac murmur associated with recurrent respiratory tract infection necessitating admissions since birth. Clinical, radiological and electrographic findings were suggestive of a patent ductus arteriosus. A doppler echocardiogram done revealed a coronary cameral fistula from the Left Coronary Artery draining into the Left Atrium.
Authors and Affiliations
BA Animasahun, MO Adekunle, Kushimo OY
Keywords
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- EP ID EP249307
- DOI 10.28967/jccct.2016.01.16005
- Views 102
- Downloads 0
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