Management of an Unusual Left Coronary Artery to Right Ventricular Fistula in a Neonate

Early Surgical Repair of the Coronary Artery Fistulae in Children: 30 Years of Experience

“…The preoperative assessment with cardiac catheterization and selective coronary angiography is, therefore, important for delineating the course of the fistula and identifying coronary branches. We previously reported the case of a neonate with a left coronary artery to RV fistula and described preoperative assessment imaging in much detail [9]. Coronary angiography, together with transthoracic echocardiography and computed tomography, enabled preoperative planning and facilitated successful CAF closure.…”

Management Techniques of Coronary Fistulae

“…Intervention is required to treat symptoms of heart failure or coronary steal in large fistulae or to avoid complications such as rupture, thrombosis, endocarditis, or arterial aneurysm formation. 1,4,5 Transcatheter closure of coronary fistulae is possible in many instances but may not be feasible due to fistula size or other technical considerations. Surgical management of a coronary fistula was first successfully undertaken by Bjork and Crafoord in 1947.…”