A Rare Cause of a Continuous Murmur in a Newborn.

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  • Author(s): Pierick AR;Pierick AR; Liken H; Liken H; Joynt MR; Joynt MR
  • Source:
    World journal for pediatric & congenital heart surgery [World J Pediatr Congenit Heart Surg] 2024 Jul; Vol. 15 (4), pp. 521-523. Date of Electronic Publication: 2024 Mar 07.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Sage Publications Country of Publication: United States NLM ID: 101518415 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2150-136X (Electronic) Linking ISSN: 21501351 NLM ISO Abbreviation: World J Pediatr Congenit Heart Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: Thousand Oaks, CA : Sage Publications
    • Subject Terms:
      Heart Murmurs*/etiology ; Coronary Vessel Anomalies*/diagnosis ; Coronary Vessel Anomalies*/complications; Humans ; Infant, Newborn ; Male ; Heart Ventricles/abnormalities ; Electrocardiography ; Vascular Fistula/complications ; Vascular Fistula/diagnosis ; Vascular Fistula/surgery ; Echocardiography
    • Abstract:
      We describe what we believe to be the first reported case of a neonate with right coronary ostial atresia with the right coronary artery originating from the left circumflex coronary artery, in conjunction with a right coronary artery to right ventricle fistula in a patient with otherwise normal cardiac anatomy. This was found following an evaluation for a continuous murmur at 2 weeks of life with elevated troponin and abnormal electrocardiogram. Thus far the child has required no intervention and is asymptomatic at 17 months of age, but he will require long-term follow-up to monitor the size of the fistula and potential for myocardial insufficiency.
      Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
    • Publication Date:
      Date Created: 20240308 Date Completed: 20240726 Latest Revision: 20241219
    • Publication Date:
      20241219
    • Accession Number:
      10.1177/21501351241232584
    • Accession Number:
      38454644