Journal of perinatal medicine · 2007
Early detection of a congenital coronary artery fistula in a neonate by Doppler color flow mapping.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Mansour Ayman, Chhabra Manoj, Sutija Vesna G
Аннотация
AIMS: To describe a case of a congenital coronary artery fistula in a neonate with the diagnostic and surgical modalities used to manage this condition. A full-term infant was recently diagnosed with a coronary artery fistula. The patient was a term neonate, born without complications, which then appeared to be cyanotic and had a significant heart murmur.
RESULTS: Echocardiography demonstrated a large right coronary fistula measuring 7 mm in diameter entering the right ventricle and a small patent ductus arteriosus (PDA) with a left to right shunt. The patient subsequently had patch closure of the coronary artery fistula and ligation of the PDA. Recovery followed from the procedure without apparent intra-operative or post-operative complications.
CONCLUSION: Prompt diagnosis and surgical management of the neonate with a coronary fistula is essential to reduce the morbidity and mortality that may result from this condition.
RESULTS: Echocardiography demonstrated a large right coronary fistula measuring 7 mm in diameter entering the right ventricle and a small patent ductus arteriosus (PDA) with a left to right shunt. The patient subsequently had patch closure of the coronary artery fistula and ligation of the PDA. Recovery followed from the procedure without apparent intra-operative or post-operative complications.
CONCLUSION: Prompt diagnosis and surgical management of the neonate with a coronary fistula is essential to reduce the morbidity and mortality that may result from this condition.