Coronary-cameral fistula between left anterior descending artery and right atrium in childhood: a case report

Coronary artery fistulas are abnormalities of artery termination. The fistulas involving the right heart chambers are more common than those involving the left heart chambers. The occurrence of a coronary-cameral fistula in pediatric patients is unusual. Patients are mostly asymptomatic and presenting symptoms may occur at older ages. The pathology is diagnosed by two-dimensional echocardiography, cardiac catheterization, and computed tomographic angiography. Early treatment is recommended due to the risk of congestive heart failure, endocarditis, myocardial ischemia/infarction, pulmonary hypertension, and coronary aneurysm formation with subsequent ruptures or embolization. Herein, we present an 11-year-old girl in whom a giant coronary artery fistula localized between the left anterior descending artery and the right atrium was successfully treated