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Propranolol as a treatment for multiple coronary artery micro-fistulas

Published online by Cambridge University Press:  09 April 2014

María Hernández ,
Juan M. Carretero  and
Fredy Prada
María Hernández
Affiliation:
Department of Pediatrics, Hospital Joan XXIII Tarragona, Tarragona, Spain
Juan M. Carretero*
Affiliation:
Department of Pediatric Cardiology, Hospital Sant Joan de Dèu, Barcelona, Spain
Fredy Prada
Affiliation:
Department of Pediatric Cardiology, Hospital Sant Joan de Dèu, Barcelona, Spain
*
Correspondence to: Dr J. M. Carretero, MD, Department of Cardiology, Sant Joan de Dèu Hospital, Paseo Sant Joan de Dèu, 2, Esplugues 08950, Barcelona, Spain. Tel: +34 695220360; Fax:+34 932532149; E-mail: jcarretero@hsjdbcn.org
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Abstract

We present a case of congenital multiple coronary artery–left ventricle micro-fistulas, which were treated with propranolol disappearing within 6 months. She had a malformative syndrome associated with a chromosomal abnormality. The treatment for coronary artery fistula includes surgical ligation and transcatheter closure, but they are not indicated in congenital micro-fistulas. We propose propranolol as a treatment in this type of diffuse fistula.

Keywords

Coronary artery fistulacongenital heart defectspropranolol
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 2 , February 2015 , pp. 380 - 383
Copyright
© Cambridge University Press 2014 

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