Şişli Emrah, Ayik Mehmet Fatih, Akyüz Muhammet, Dereli Münevver, Atay Yüksel
Section of Paediatric Cardiovascular Surgery, Department of Cardiovascular Surgery, Faculty of Medicine, Ege University, Izmir, Turkey. Email:
Section of Paediatric Cardiovascular Surgery, Department of Cardiovascular Surgery, Faculty of Medicine, Ege University, Izmir, Turkey.
Cardiovasc J Afr. 2016 Dec 23;27(6):e1-e3. doi: 10.5830/CVJA-2016-044.
A coronary fistula (CF) is a rare congenital cardiac anomaly in which there is a connection between the coronary artery and a cardiac chamber or a great vessel. In the paediatric population, a CF is usually asymptomatic. While the circumflex coronary artery (Cx) is the least common source of a CF, the right heart chambers are the most common location of drainage. Herein, we present a symptomatic 10-month-old boy with an atrial septal defect (ASD) in whom we incidentally detected a CF, which stemmed from the Cx and drained to the right atrium. Because the patient was symptomatic and his small size was not appropriate for percutaneous closure of the ASD, surgical closure of the ASD and CF was performed.
冠状动脉瘘（CF）是一种罕见的先天性心脏异常，其中冠状动脉与心腔或大血管之间存在连接。在儿科人群中，CF通常无症状。虽然回旋支冠状动脉（Cx）是CF最不常见的起源部位，但右心腔是最常见的引流部位。在此，我们报告一名10个月大、有症状的患有房间隔缺损（ASD）的男孩，我们在其身上偶然发现了一个起源于Cx并引流至右心房的CF。由于患者有症状且其体型较小不适合经皮闭合ASD，因此对ASD和CF进行了手术闭合。
