A Young Boy with Coronary Cameral Fistula

Mohammad  Arifur Rahman; Afzalur  Rahman; Mohammad  Mahbubur Rahman; Mohammad  Arifur Rahman

A Young Boy with Coronary Cameral Fistula

Mohammad Arifur Rahman ^{1
, *} , Afzalur Rahman ¹ and Mohammad Mahbubur Rahman ¹

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Article Notes and Dates

To Cite : Arifur Rahman M , Rahman A , Mahbubur Rahman M . A Young Boy with Coronary Cameral Fistula, Int Cardio Res J. 2017 ;9(3):e11243.

Abstract

Coronary-Cameral Fistula (CCF) is an anomalous connection between a coronary artery and cardiac chamber. Most CCFs are discovered incidentally during angiographic evaluation for coronary vascular disorder. Here, we report a 16-year-old boy with exertional breathlessness for 3 years. There was a continuous murmur at the right para sternal border in the 4^th and 5^th intercostal space. Echocardiography showed Right Ventricular Hypertrophy (RVH) with strain pattern. Besides, transthoracic echocardiography demonstrated a normally functioning left ventricle, but dilated right atrium and ventricle. The right ventricle also showed hypertrophy and trabeculation. Coronary angiography demonstrated a direct connection between the right ventricular cavity and the right epicardial coronary artery. However, the left coronary arterial system was normal. The patient was treated by ligation of the fistulous connection by off-pump surgery.

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