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Spontaneous rupture of a coronary artery fistula presenting with post-exertional syncope and haemopericardium |
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| Authors: | Manan H Desai Laura J Olivieri Karthik V Ramakrishnan Tacy E Downing |
| Institution: | 1.Division of Cardiac Surgery, Children’s National Hospital, Washington, DC, USA;2.Division of Pediatric Cardiothoracic Surgery, Lucile Packard Children''s Hospital, Stanford University, Palo Alto, CA, USA;3.Division of Cardiology, Children’s National Hospital, Washington, DC, USA;4.Division of Pediatric Cardiothoracic Surgery, Children''s National Hospital, Washington, DC, USA |
| Abstract: | An 8-year-old with a known diagnosis of an asymptomatic coronary artery fistula (CAF) presented with exertional syncope and haemopericardium due to contained rupture of CAF. A transcatheter closure was attempted, but the fistula ruptured again prompting emergency surgical repair. Spontaneous rupture is a catastrophic complication of CAF and warrants a high index of suspicion, timely diagnosis and team management. |
| Keywords: | Coronary artery fistula Haemopericardium Syncope |