Spontaneous Closure Of Coronary Artery Fistula
British Heart Journal 52(4): Oct 1984; 477-479
View Original Source →Case Details
Personal Characteristics
A west indian girl, 1 year old
Clinical Characteristics
Asymptomatic murmur, bounding arterial pulses, a systolic thrill with a grade 4/6 continuous murmur at the lower right sternal edge, changes of biventricular hypertrophy, minimal cardiomegaly and pulmonary plethora, dilated proximal right coronary artery with a fistulous communication to the right ventricle just below the outflow tract
Remission Characteristics
Systolic thrill had disappeared, no evidence of bounding pulses, systolic thrill, or any continuous murmur, normal electrocardiogram and chest radiograph, no evidence of any left to right shunting, dilated right coronary artery ostium but no fistula was evident
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
Cardiac catheterization, angiography, treadmill exercise test
Non-Clinical Treatment
Advice regarding prophylaxis against infective endocarditis
Additional Notes
The patient was managed conservatively