Spontaneous rupture of a coronary artery fistula presenting with post-exertional syncope and haemopericardium

Manan H. Desai, Laura J. Olivieri, Karthik V. Ramakrishnan, Tacy E. Downing

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)658-660
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Issue number4
StatePublished - Apr 1 2021

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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