Key result
A hybrid multidisciplinary approach facilitated early successful surgical repair with an excellent outcome in a neonate presenting with a significant right coronary artery to right ventricle fistula.
Why the study?
Neonates rarely present in extremis with large coronary artery fistulas, situations in which a multidisciplinary hybrid approach is optimal to facilitate early surgical repair.
Case Report (n=1)
A multidisciplinary hybrid approach can facilitate successful early surgical repair of large symptomatic congenital coronary artery fistulas in neonates.
Case supports early multidisciplinary repair in symptomatic neonates; leaves open optimal timing and technique standardization.
Coronary artery fistula are rare lesions that account for 0.2% to 0.4% of all congenital heart disease.1 The most common coronary fistula presentation is a right coronary artery (RCA) to right atrium/ventricle (40%) in an asymptomatic adult.2 Rarely, neonates present with large fistula in extremis.3 In these situations, a multidisciplinary approach between cardiology, interventional cardiology, and cardiothoracic surgery is optimal to facilitate early successful surgical repair.4 We present a neonate with a significant RCA to right ventricle (RV) fistula who had an excellent outcome using this hybrid approach (Video 1).
No takes yet. Share an insight, caveat, or question.
Greene et al. (2020) conducted a case report in Congenital coronary artery fistula (n=1). Hybrid multidisciplinary approach was evaluated on Surgical repair outcome. A hybrid multidisciplinary approach facilitated early successful surgical repair with an excellent outcome in a neonate presenting with a significant right coronary artery to right ventricle fistula.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: