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Mechanics of Infant Coronary Fistula

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  • Mechanics of Infant Coronary Fistula

    Hello Everyone,

    This question regards the biomechanics of a coronary fistula: how they
    happen, why they happen, and why, on very rare occasions, they
    spontaneously disappear.

    But to emphasize the significance of the question and to welcome all
    possible responses (even direct email), I must explain that this is a
    personal request: my infant son was born on Tuesday morning, and has
    one.

    I am asking for responses that treat the hemodynamics of this, along
    with other details such as how the coronary arteries and coronary
    nerves are mingled in the developing infant...

    In this case, my son as a second artery. As one travels up along the
    aorta, first comes the coronary artery (which branches out and feeds
    the heart). Then this second one appears immediately behind the
    first. This one does not bifurcate at all and returns to the pulmonary
    ventricle.

    Hemodynamically, this sounds like a pressure feedback loop. So...

    Why,
    How,
    Implications?
    Can catheterization dynamically open this artery up
    more than it should?
    And so on...

    For the record, I am NOT asking for medical advice. I am just
    trying to supplement my understanding of the condition.


    Thanks,
    Tom Impelluso

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