Right Coronary Artery to Pulmonary Arterial Fistula Associated With Tetralogy of Fallot: A Case Report and Review of Literature

World J Pediatr Congenit Heart Surg. 2015 Oct;6(4):654-7. doi: 10.1177/2150135115581385.

Abstract

A 16-year-old boy with tetralogy of Fallot (TOF), pulmonary stenosis, and coronary artery to pulmonary arterial fistulous communication arising from the proximal right coronary artery is reported for its rarity. The surgical importance of this anomaly is highlighted. The diagnosis should be borne in cases of TOF, with echocardiographic demonstration of severe right ventricular outflow tract obstruction without a corresponding degree of systemic arterial desaturation.

Keywords: pulmonary stenosis; right coronary artery–pulmonary artery fistula; tetralogy of Fallot.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Arterio-Arterial Fistula / congenital
  • Arterio-Arterial Fistula / diagnosis*
  • Arterio-Arterial Fistula / surgery
  • Cardiac Surgical Procedures
  • Coronary Angiography
  • Coronary Vessel Anomalies / diagnosis*
  • Coronary Vessel Anomalies / surgery
  • Echocardiography
  • Humans
  • Male
  • Pulmonary Artery / abnormalities*
  • Tetralogy of Fallot / diagnosis*
  • Tetralogy of Fallot / surgery
  • Tomography, X-Ray Computed
  • Vascular Surgical Procedures