A Young Boy with Coronary Cameral Fistula

Mohammad  Arifur Rahman; Afzalur  Rahman; Mohammad  Mahbubur Rahman

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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A Young Boy with Coronary Cameral Fistula

Authors:

Mohammad Arifur Rahman^1,*,

Afzalur Rahman¹,

Mohammad Mahbubur Rahman¹

1National Institute of Cardiovascular Diseases, Sher e bangle nagar, Dhaka, Bangladesh

International Cardiovascular Research Journal:Vol. 9, issue 3; e11243

Published online:Sep 30, 2015

Article type:Case Report

Received:Feb 28, 2017

Accepted:Feb 09, 2015

How to Cite:Mohammad Arifur RahmanAfzalur RahmanMohammad Mahbubur RahmanA Young Boy with Coronary Cameral Fistula.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.

Keywords

Fistula

Heart Murmurs

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