Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-23T09:37:28.136Z Has data issue: false hasContentIssue false
  • English
  • Français

Multiple fistulas from the coronary arteries to the left ventricle in tricuspid atresia

Published online by Cambridge University Press:  21 January 2005

Hiroyuki Ikeda ,
Hiroyuki Aotsuka  and
Hiromichi Nakajima
Hiroyuki Ikeda
Affiliation:
Division of Pediatric Cardiology, Chiba Children’s Hospital, Chiba, Japan
Hiroyuki Aotsuka
Affiliation:
Division of Pediatric Cardiology, Chiba Children’s Hospital, Chiba, Japan
Hiromichi Nakajima
Affiliation:
Division of Pediatric Cardiology, Chiba Children’s Hospital, Chiba, Japan
Get access Rights & Permissions [Opens in a new window]

Abstract

It is rare to find multiple fistulas arising from all three coronary arteries and draining into the left ventricle. Coronary angiography revealed this anomaly in a one-year-old girl with tricuspid atresia after conversion to the Fontan circulation. To the best of our knowledge, this is the first report of such multiple fistulas in the setting of tricuspid atresia, and also the first report in childhood.

Keywords

Absent right atrioventricular connectionfistulaous communicationscongenital heart disease
Type
Brief Report
Information
Cardiology in the Young , Volume 14 , Issue 5 , October 2004 , pp. 562 - 564
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hobbs RE, Millit HD, Raghavan PV, Moodie DS, Sheldon WC. Coronary artery fistulas: a 10-year review. Cleveland Clin Q 1982; 49: 191–197.Google Scholar
Kinard S. Hypoplasia of the coronary sinus with coronary venous drainage into the left ventricle by way of the Thebesian system. Chest 1975; 68: 384–385.Google Scholar
Coussement P, De Geest H. Multiple coronary artery-left ventricular communications: an unusual prominent thebesian system. A report of four cases and review of the literature. Acta Cardiologica 1994; 2: 165–173.Google Scholar
Duckworth F, Mukharji J, Vetrovec GW. Diffuse coronary artery to left ventricular communications: an unusual cause of demonstrable ischemia. Cathet Cardiovasc Diagn 1987; 13: 133–137.Google Scholar
Stierle U, Giannitisis E, Sheikhzadeh A, Potratz J. Myocardial ischemia in generalized coronary artery-left ventricular microfistulas. Int J Cardiol 1998; 63: 47–52.Google Scholar
Cha SD, Singer E, Maranhao V, Goldberg H. Silent coronary artery-left ventricular fistula: a disorder of the Thebesian system? Angiology 1978; 29: 169–173.Google Scholar
Meissner A, Lins M, Herrmann G, Simon R. Multiple coronary artery-left ventricular fistulas: haemodynamic quantification by intracoronary Doppler ultrasound. Heart 1997; 78: 91–93.Google Scholar
Black LW, Loo CKC, Allan RM. Multiple coronary artery-left ventricular fistulae: clinical, angiographic, and pathologic findings. Cathe Cardiovasc Diagn 1991; 23: 133–135.Google Scholar
Grant RT, Reignier M. The comparative anatomy of the cardiac coronary vessels. Heart 1926; 13: 285–317.Google Scholar
Orie JD, Anderson C, Ettedgui JA, Zuberbuhler JS, Anderson RH. Echocardiographic-morphologic correlations in tricuspid atresia. J Am Coll Cardiol 1995; 26: 750–758.Google Scholar