Perspectives in Medical Research

Volume: 7 Issue: 2

  • Open Access
  • Case Report

Coronary Cameral fistula – A rare coronary artery anomaly

Subrahamanyam M1, Ramana D2, Balaram2, L S R Prasad2, Mudgalkar N3, Amit ch4

1. post graduate student
2. consultant cardiovascular thoracic surgeon
3. consultant Anesthetist
4. consultant paediatrician
Address for correspondence: Dr. Subrahmanyam mallada, Postgraduate student, Department of general surgery, Prathima Institute of Medical Sciences, Karimnagar, Telangana, India, Postal code-505417.
E mail ID: [email protected]

Year: 2019, Page: 80-81,

Abstract

A coronary artery fistula involves a sizeable communication between one of the coronary arteries and a cardiac chamber (coronary cameral fistula) or a vein (coronary arteriovenous fistula). Sixty percent of these fistulae arise from the right coronary artery and terminate mostly (90%) in the right side of the heart. The most frequent sites of termination in the descending order are the right ventricle, right atrium, coronary sinus, and the pulmonary vasculature. The majority of these patients presents in adulthood and are usually asymptomatic, often being detected accidentally. The resultant physiologic derangement depends upon the site of origin and termination of the fistula and the size of the connection. We report a case of a 3 year old female child presented to our hospital CCF aneurismal fistulous tract connecting right coronary artery to right atrium for which fistulectomy and repair of terminal opining done.

Keywords: CCF coronary cameral fistula, CAF coronary artery fistula, RCA right coronary artery, RA right atrium.

References

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2. Sabiston text book of surgery 20th edition chapter 58 Congenital Heart Disease page 16531
3. Friedman W, Silverman N. Congenital heart disease in infancy and childhood. In : Braunwald E, Editor, Heart disease, A textbook of cardiovascular medicine. Ed 6, Philadelphia, WB saunders, 2001; 1505-91
4. Freedom RM, Hamington DP, Contributions of intramyocardial Sinusoids in pulmonary atresia and intact ventricular septum to a right sided circular shunt, Br Heart J 1975; 36: 1061-65
5. Fyfe DA, Edwards D, Driscoll DJ. Myocardial ischemia in patients with pulmonary atresia and intact ventricular septum. J Am Coll Cardiol 1986; 8:4 402-06

Cite this article

Subrahamanyam M , Dhannapuneni R , Balaram, Prasad LSR, Mudgalkar N, Amit Ch. Coronary Cameral fistula. A rare coronary artery anamoly. Perspectives in Medical Research 2019; 7(2):80-81.

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