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


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 



right-left coronary artery


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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

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