Endocarditis of a congenital coronary fistula in a child

Abstract

Endocarditis of congenital coronary fistulas in the cardiac chambers is rare, especially in the paediatric age group. We describe the case of a 9-year-old boy with a fistula from the dilated right coronary artery to the junction of the superior caval vein to the right atrium, complicated by endocarditis. Treatment consisted of 6 weeks of antibiotics and interventional closure of the fistula 3 months later with an Amplatzer vascular plug.

Perioperative anesthetic management of an 18-month-old pediatric patient with a congenital coronary fistula between the left circumflex coronary artery and coronary sinus: Report of a rare case

“…Pediatric coronary artery fistulas (CAFs) are a rare congenital coronary anomaly with a known incidence of 0.1–0.2% of all children. [ 1 2 ] Approximately 40–55% of CAFs originate from the right coronary artery and drain into the right atrium (RA) or ventricle; origination from the left circumflex artery is extremely rare. [ 2 3 ] Most fistulas empty into the RA or pulmonary artery.…”