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Review of an institutional experience of coronary arterial fistulas in childhood set in context of review of the literature

Published online by Cambridge University Press:  21 January 2005

Ralf Holzer
Affiliation:
Department of Paediatric Cardiology, Royal Liverpool Children's NHS Trust, Liverpool, UK
Robert Johnson
Affiliation:
Department of Paediatric Cardiology, Royal Liverpool Children's NHS Trust, Liverpool, UK
Giovanna Ciotti
Affiliation:
Department of Paediatric Cardiology, Royal Liverpool Children's NHS Trust, Liverpool, UK
Marco Pozzi
Affiliation:
Department of Paediatric Cardiology, Royal Liverpool Children's NHS Trust, Liverpool, UK
Denise Kitchiner
Affiliation:
Department of Paediatric Cardiology, Royal Liverpool Children's NHS Trust, Liverpool, UK

Abstract

Coronary artery fistulas are uncommon in children. We conducted a retrospective review of the case notes of 17 children who presented to our institution with the diagnosis of a coronary fistula since 1970. Their median age was 2.3 years. In five patients, there were associated congenital cardiac anomalies, with four having these as part of the spectrum of tetralogy of Fallot. Surgical correction was performed in nine patients, while in five closure was achieved using percutaneous embolization with coils. No complications or deaths were encountered related to the treatments chosen. In two patients, further procedures were needed to close residual fistulas. The median follow-up was 16 years, and on echocardiography, all fistulas appeared to be successfully closed, albeit that we lost three patients to follow up. We also conducted a review of 426 cases of coronary fistulas reported in children in the English literature. We have compared these findings with our institutional experience.

Type
Original Article
Copyright
© 2004 Cambridge University Press

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