Incidental finding of a left coronary arteriovenous fistula in a 6-year-old schoolgirl
Abstract
Coronary fistulas are congenital or acquired abnormalities in which there is direct communication between a coronary artery and any of the cardiac chambers or other vessels. An interesting case of a child with a left coronary arteriovenous fistula draining into the right atrium is reported. The diagnosis was made by an echocardiographic finding that was confirmed by cardiac catheterization. Angiographic images are shown, and the literature on this topic is reviewed in order to discuss some aspects of its epidemiology, clinical presentation, diagnostic possibilities, and the final conduct to face this disease.
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