ABSTRACT
Here, we report on a case of coronary artery fistula that developed following the repair of a double-outlet right ventricle (DORV) with infundibular pulmonary stenosis in a patient who has a single coronary artery. The major concern in this case was that of reduction of coronary blood flow from the patient's only coronary artery to the myocardium distal to the fistula.
Subject(s)
Coronary Artery Disease/diagnosis , Coronary Vessel Anomalies/complications , Coronary Vessels/injuries , Fistula/diagnosis , Heart Defects, Congenital/surgery , Iatrogenic Disease , Cardiac Surgical Procedures/adverse effects , Child, Preschool , Coronary Artery Disease/etiology , Coronary Artery Disease/surgery , Coronary Vessel Anomalies/surgery , Coronary Vessels/surgery , Female , Fistula/etiology , Fistula/surgery , HumansABSTRACT
A case of hypothyroidism in an infant who was born in an area where screening program was not accepted is presented. The diseases was recognized at the age of 5 months when the infant was admitted to hospital with pericarditis and heart failure - a rare complication in infant hypothyroidism. The possible mechanisms of the heart affection in hypothyroidism are reviewed. The necessity of hypothyroidism screening program is emphasized.