4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
Specialist Answers
Question
My 6 year old was recently diagnosed as having a bowing in the mitral artery with a small leak. We went to the cardiologist today and here did the echo. He discovered that the Pulmonary artery is letting blood flow back into the heart in addition to out to the lungs. They also found that he has "Coronary to Pulmonary fistula". What exactly does all this mean?
Answer
The bowing in mitral Artery or valve could be mitral valve prolapse.

Coronary to pulmonary AV fistula is rare congenital anomaly and usually drain to lesser circulation. They are usually asymptomatic with no hemodynamic consequences, but may develop at times a steal phenomenon with compromised circulation to the heart or cyanosis and clubbing if the mixing is moderate.

There is definite treatment in best centers with coil or device closure in an attempt to prevent the steal.

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