Percutaneous closure of a coronary fistula between the right coronary artery to the left atrium

Manuela Drago, Massimo Chessa, Butera Gianfranco, Eduardo Bossone, Mario Carminati

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We describe a case of a congenital coronary artery fistula of the right coronary artery draining into the left atrium in an eight-year-old boy. The initial diagnosis was made after the detection of a continuous cardiac murmur at the age of six years. Transthoracic echocardiography showed the right coronaric ostium dilatation, the site of drainage in the left atrium and left ventricle volume overload. Catheterization confirmed the diagnosis. The patient underwent percutaneous closure by PDA occluder device. Immediate post-closure angiograms showed complete occlusion of the fistula. The patient showed transient ischemic changes on ECG associated to an increase of plasmatic levels of the cardiac enzyme. ECG and cardiac enzyme were normal one week after the procedure.

Original languageEnglish
Pages (from-to)156-159
Number of pages4
JournalInternational Journal of Cardiovascular Interventions
Issue number3-4
Publication statusPublished - 2004


  • Congenital heart disease
  • Coronary fistula
  • Transcatheter

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging


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