• J Card Surg · Mar 2010

    Case Reports

    Neonatal closure of a large coronary-cameral fistula in a case of single coronary artery: the utility of intraoperative angiography.

    • Christina M Vassileva, Victor Bautista-Hernandez, Sepehr Sekhavat, Audrey Marshall, and Frank A Pigula.
    • Department of Cardiac Surgery, Children's Hospital Boston, Boston, Massachusetts 02115, USA.
    • J Card Surg. 2010 Mar 1;25(2):228-30.

    AbstractIsolated coronary artery fistula in the newborn is a very rare congenital anomaly. When symptomatic, treatment options include surgical management with ligation and/or patch closure or transcatheter coil embolization. We describe the case of a newborn with symptomatic left coronary-right ventricular fistula, which was managed operatively with off-pump ligation and on-table angiogram for confirmation of fistula obliteration and normal distribution of flow in the coronary artery. We point out the advantages of on-table angiography to evaluate and potentially treat residual structural pathology after cardiac surgery.

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