CLINICAL CASES   

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2006 April;165(2):91-3

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

A giant left coronary artery to right ventricular fistula: echocardiographic and postmortem study in a newborn

Baspinar O. ¹, Kazaz H. ², Deniz H. ³, Kilinc M. ¹, Bakir K. ²

¹ Department of Pediatric Cardiology, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey; ² Cardiovascular Surgery, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey; ³ Pathology, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey

Congenital coronary artery fistula is a rare cause of congestive heart failure in the newborn. A two-day-old girl with a continuous precordial murmur and tachycardia was referred to our clinics. An echocardiographic study revealed a large and aneurysmatic right ventricle, a giant left coronary artery to right ventricular fistula, atrial septal defect and interatrial septal aneurysm. Cardiac catheterization had been planned, but the patient was not survived because of severe heart failure and septisemia.