Abstract
BackgroundCoronary artery fistula (CAF) is a rare cardiac anomaly. Application of transthoracic echocardiography (TTE) is not fully illustrated in pediatric period. Meanwhile, the treatment strategy of CAF is still a controversial issue.Case presentationFive cases of CAF with different types were presented. We also retrospectively reviewed 32 records of CAF in our institution from May 2001 to January 2015, including cardiac murmurs, symptoms, TTE diagnoses, complications, other anomalies, treatment and outcome. We summarized the most acceptable treatment strategy for pediatric patients. 71.9 % of all (23/32) had murmurs, 15.6 % of all (5/32) had symptoms. 24 patients received surgery or other imaging examination after TTE. 87.5 % of all (21/24) were correctly and accurately diagnosed by echocardiography, including pointing out the origin and outlet of CAF and complication. During the followup of all 32 patients, there was no spontaneous closure, heart failure, infective endocarditis or death case.ConclusionsTTE is a useful method that should be considered in the investigation and follow up of pediatric coronary artery fistula. The treatment strategy for pediatric patients should be individuation.
Highlights
Coronary artery fistula (CAF) is a rare cardiac anomaly
We summarized the most acceptable treatment strategy for pediatric patients. 71.9 % of all (23/32) had murmurs, 15.6 % of all (5/32) had symptoms. 24 patients received surgery or other imaging examination after Transthoracic echocardiography (TTE). 87.5 % of all (21/24) were correctly and accurately diagnosed by echocardiography, including pointing out the origin and outlet of CAF and complication
TTE is a useful method that should be considered in the investigation and follow up of pediatric coronary artery fistula
Summary
Coronary artery fistula (CAF) is a rare cardiac anomaly with incidence of 0.002 % in the general population (Fernandes et al 1992). Case 1 A 14-year-old boy was admitted to our hospital because of being heard cardiac murmur during school physical examination. He didn’t have any symptom in normal times. Case 3 A 4-year-old girl came to our hospital because of being heard a grade 3/6 continuous murmur at the left side of the chest. Case 4 A 10-year-old girl was admitted to hospital because of a diastolic cardiac murmur of grade 3/6~4/6 in the left side of the chest. The patient is 2.5 years of age and is asymptomatic with a normal exercise capacity
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
