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Large congenital coronary arteriovenous fistula between the left main coronary artery and right superior vena cava, associated with aneurysmal dilatation of the left main coronary artery: rare case report

Published online by Cambridge University Press:  15 July 2014

Naveen Chandra G. S. ,
Achyut Sarkar  and
Arindam Pande
Naveen Chandra G. S.*
Affiliation:
Department of Cardiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
Achyut Sarkar
Affiliation:
Department of Cardiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
Arindam Pande
Affiliation:
Department of Cardiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
*
Correspondence to: Dr G. S. Naveen Chandra, MD, DM, S/o Sanjeeva Ganiga, Prabhath, Gandhi Nagar, Ambalapady Bypass, Udupi 576103, Karnataka, India. Tel: +08202533966; Fax: +91-820-2571934; E-mail: [email protected]
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Abstract

Coronary arteriovenous fistula is an uncommon clinical entity. The right coronary artery is the most common site of origin, and the fistula commonly drains into the right-sided cardiac chambers. Very rarely it can arise from the left main coronary artery, and fistulas draining into the superior vena cavity are extremely rare. We report a 12-year-old asymptomatic boy with a large coronary arteriovenous fistula between the left main coronary artery and superior vena cava, with aneurysmal dilatation of the left main coronary artery. As the fistula was very large and to prevent its complications, it was planned to close the fistula percutaneously.

Keywords

Fistulaaneurysmcoronary
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 25 , Supplement 1 , January 2015 , pp. 143 - 145
Copyright
© Cambridge University Press 2014 

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