Regression of a coronary arterial fistula in an infant with pulmonary atresia and an intact ventricular septum

Pediatr Cardiol. 2010 Jan;31(1):144-6. doi: 10.1007/s00246-009-9559-2. Epub 2009 Oct 27.

Abstract

This report describes a premature newborn with pulmonary atresia and an intact ventricular septum who presented with a significant fistula between the right ventricle and the left anterior descending coronary artery (LAD). The right ventricle was not decompressed to prevent myocardial damage. After 2 months, the fistula had closed spontaneously. The pulmonary valve was opened, and biventricular circulation was achieved.

Publication types

  • Case Reports

MeSH terms

  • Coronary Angiography
  • Coronary Vessel Anomalies* / diagnostic imaging
  • Fistula* / diagnostic imaging
  • Heart Septal Defects, Ventricular* / diagnostic imaging
  • Heart Septal Defects, Ventricular* / therapy
  • Humans
  • Infant, Newborn
  • Infant, Premature*
  • Male
  • Pulmonary Atresia*
  • Remission, Spontaneous*