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Noninvasive Diagnosis of Coronary Artery Fistula After Cardiac Surgery

Prince Sultan Cardiac Center Riyadh, Saudi Arabia
For reprint information contact: Abdullah A Alabdulgader, MRCP Tel: 966 3 575 0000 Ext. 1237 Fax: 966 3 575 5150 email: kidsecho{at}37.com Department of Pediatrics, King Fahad Hospital, Hofuf, P.O. Box 9596, Al Hassa 31982, Saudi Arabia.

A 5-year-old boy underwent ventricular septal defect closure as well as resection of the muscle bundle of a double-chamber right ventricle and a subaortic membrane. Five days after surgery, echocardiography revealed a left anterior descending artery fistula with 2 sites of entry to the right ventricle. The child was asymptomatic with no murmurs. Echocardiography is an excellent tool for detecting such silent clinical lesions.