Coronary Artery Fistula | Diagnosis and Treatment

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How is coronary artery fistula diagnosed?

In many cases, this condition may not be diagnosed until later in life. It is most often diagnosed in children when a doctor hears a heart murmur that leads to further testing.

Tests to diagnose coronary artery fistula may include:

What are the treatment options for coronary artery fistula?

In most cases, a small fistula that's not causing symptoms won't need treatment. Some small fistulas eventually close on their own, but even if it doesn’t close, it may not cause symptoms and won’t need to be treated.

Children with a larger fistula may need surgery to close the connection with stiches or a patch. In some cases, the doctor may use a special wire coil to plug the opening instead of surgery. The coil is inserted into the heart using a long, thin tube called a catheter.

What is the long-term outlook for coronary artery fistula?

Most children with this condition do well and have a normal lifespan. Some children may need more than one surgery.

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