Advertisement

European Journal of Pediatrics

, Volume 151, Issue 8, pp 555–557 | Cite as

Doppler and 2D echocardiographic diagnosis of congenital coronary artery fistulae to the right cardiac chambers: Report of 3 cases

  • G. Bosi
  • O. Milanesi
  • M. Scorrano
  • P. A. Pellegrino
  • J. P. Lintermans
Cardiology Original Papers

Abstract

We present three cases of coronary artery fistulae to the right cardiac chambers. The first was a 2-day-old neonate in congestive heart failure: 2D and Doppler echocardiography revealed a dilated proximal left coronary artery and a fistulous connection to the right atrium. The other two patients, respectively 4 and 3 years old, were asymptomatic and presented with a continuous heart murmur: a left coronary artery fistula into the right ventricle was detected by ultrasound in one, and a dilated proximal right coronary artery in the other. The diagnosis was confirmed in all three patients. The first patient was operated upon at 18 months of age; the second patient is awaiting surgery, and in the third patient the fistula was ligated at the age of 3 years. The possibility of ultrasound diagnosis without invasive procedures is suggested.

Key words

Congenital heart disease Coronary artery fistula Cross-sectional and Doppler echocardiography 

Abbreviation

R-LCA

right-left coronary artery

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Agatston AS, Chapman E, Hildner FJ, Samet P (1984) Diagnosis of a right coronary artery-right atrial fistula using two-dimensional and Doppler echocardiography. Am J Cardiol 54:238–239CrossRefPubMedGoogle Scholar
  2. 2.
    Chen CC, Hwang B, Hsiung MC, Chiang BN, Meng LC, Wang DJ, Wang SP (1984) Recognition of coronary artery fistula by Doppler 2-dimensional echocardiography. Am J Cardiol 53:392–394CrossRefPubMedGoogle Scholar
  3. 3.
    Cooper MJ, Bernstein D, Silverman NH (1985) Recognition of left coronary artery fistula to the left and right ventricles by contrast echocardiography. J Am Coll Cardiol 6:923–926PubMedGoogle Scholar
  4. 4.
    Friedman DM, Rutkowski M (1985) Coronary artery fistula: a pulsed Doppler two-dimensional echocardiographic study. Am J Cardiol 55:1652–1654CrossRefPubMedGoogle Scholar
  5. 5.
    Ke WL, Wang NK, Lin YM, Shen CT, Chen CC (1988) Right coronary artery fistula into right atrium: diagnosis by color Doppler echocardiography. Am Heart J 116:886–890CrossRefPubMedGoogle Scholar
  6. 6.
    Kimball TR, Daniels SR, Meyer RA, Knilans TK, Plowden JS, Schwartz DC (1989) Color flow mapping in the diagnosis of coronary artery fistula in the neonate: benefits and limitations. Am Heart J 117:968–971CrossRefPubMedGoogle Scholar
  7. 7.
    Krause W (1865) Über den Ursprung einer akzessorischen A. coronaria aus der A. pulmunalis. Ztsch Rate Med 24:225Google Scholar
  8. 8.
    Lowe JE, Newland Oldham A, Sabiston DL (1981) Surgical management of congenital coronary artery fistulas. Ann Surg 194:373–380PubMedGoogle Scholar
  9. 9.
    Nishikimi T, Oku H, Hirota K, Murai K, Kawarabayashi T, Yoshiyama M, Akioka K, Teregaki M, Yasuda M, Takenuchi K, Takeda T (1987) Right and left coronary artery to left ventricle fistula detected by color Doppler flow mapping. Am Heart J 114:890–894CrossRefPubMedGoogle Scholar
  10. 10.
    Page E, Machecourt J, Wolf JE, Terraube P, Bourlard P, Denis B (1984) Fistule coronaro-pulmonaire bilatérale. A propos d'un nouveau cas avec revue de la littérature. Arch Mal Cœur 77:106–110Google Scholar
  11. 11.
    Pexieder T, Bloch D, Beuret A (1988) EUROCAT Working Party on Congenital Heart Disease, Swiss Paediatric Cardiologists Group: EUROCAT collaborative study on congenital Heart Disease, 1986 Data. In: ICBDMS-EUROCAT symposium: birth defects monitoring programmes and registries; their used for epidemiological researches, 27th September 1988, Strasbourg. Oral communicationGoogle Scholar
  12. 12.
    Reeder GS, Tajik AJ, Smith HC (1980) Visualization of coronary artery fistula by two-dimensional echocardiography. Mayo Clin Proc 55:185–189PubMedGoogle Scholar
  13. 13.
    Ren JY, Goh TH (1985) Congenital coronary artery fistula to the right atrium: case report and literature review. J Cardiovasc Ultrasonography 4:21–24Google Scholar
  14. 14.
    Rodgers DM, Wolf NM, Barret MJ, Zuckerman GL, Meister SG (1982) Two dimensional echocardiographic features of coronary arteriovenous fistula. Am Heart J 104:872–874CrossRefPubMedGoogle Scholar
  15. 15.
    Schamroth CL, Sarelli P, Curcio A, Barlow JB (1985) Multiple coronary artery-right ventricular fistulas. Am Heart J 109:1388–1390CrossRefPubMedGoogle Scholar
  16. 16.
    Starc TJ, Bowman FO, Hordof AJ (1986) Congestive heart failure in a newborn secondary to coronary artery-left ventricular fistula. Am J Cardiol 58:366–367CrossRefPubMedGoogle Scholar
  17. 17.
    Yoshikawa J, Katao H, Yanaginara K, Takagi Y, Okumachi F, Yoshida K, Tomita Y, Fukaia T, Baba K (1982) Noninvasive visualization of the dilated main coronaries arteries in coronary artery fistulas by cross-sectional echocardiography. Circulation 65:600–603PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • G. Bosi
    • 1
  • O. Milanesi
    • 2
  • M. Scorrano
    • 1
  • P. A. Pellegrino
    • 2
  • J. P. Lintermans
    • 3
  1. 1.Paediatric Cardiology UnitUniversity of FerraraFerraraItaly
  2. 2.Paediatric Cardiology UnitUniversity of PadovaItaly
  3. 3.Paediatric Cardiology DepartmentCatholic University of LouvainBelgium

Personalised recommendations