Large congenital coronary arteriovenous fistula between the left main coronary artery and right superior vena cava, associated with aneurysmal dilatation of the left main coronary artery: rare case report

Cardiol Young. 2015 Jan;25(1):143-5. doi: 10.1017/S1047951114001103. Epub 2014 Jul 15.

Abstract

Coronary arteriovenous fistula is an uncommon clinical entity. The right coronary artery is the most common site of origin, and the fistula commonly drains into the right-sided cardiac chambers. Very rarely it can arise from the left main coronary artery, and fistulas draining into the superior vena cavity are extremely rare. We report a 12-year-old asymptomatic boy with a large coronary arteriovenous fistula between the left main coronary artery and superior vena cava, with aneurysmal dilatation of the left main coronary artery. As the fistula was very large and to prevent its complications, it was planned to close the fistula percutaneously.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple*
  • Arteriovenous Fistula / diagnosis*
  • Child
  • Coronary Aneurysm / congenital
  • Coronary Aneurysm / diagnosis*
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnosis*
  • Diagnosis, Differential
  • Diagnostic Imaging / methods*
  • Echocardiography, Doppler, Color
  • Follow-Up Studies
  • Humans
  • Male
  • Tomography, X-Ray Computed
  • Vascular Malformations / diagnosis
  • Vena Cava, Superior / abnormalities*