<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2954-3835</journal-id>
<journal-title><![CDATA[Cardiovascular and metabolic science]]></journal-title>
<abbrev-journal-title><![CDATA[Cardiovasc. metab. sci]]></abbrev-journal-title>
<issn>2954-3835</issn>
<publisher>
<publisher-name><![CDATA[Asociación Nacional de Cardiólogos de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-38352025000100028</article-id>
<article-id pub-id-type="doi">10.35366/119630</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Coronary artery to right pulmonary artery fistula in an adolescent]]></article-title>
<article-title xml:lang="es"><![CDATA[Fístula coronaria a la rama derecha de la arteria pulmonar en un adolescente: reporte de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomez-Vargas]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutierrez-Fajardo]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baeza]]></surname>
<given-names><![CDATA[Frank A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pediatric Cardiology and Nutrition Unit  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Especialidades San Francisco de Asis Echocardiography Laboratory ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Pediatric Cardiology and Nutrition Unit  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>36</volume>
<numero>1</numero>
<fpage>28</fpage>
<lpage>34</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-38352025000100028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-38352025000100028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-38352025000100028&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Coronary artery fistulas (CAF) represent a rare category of congenital anomalies that are frequently underdiagnosed due to the absence of early-life symptomatology. Most cases of CAF are incidentally discovered during imaging examinations conducted for unrelated medical issues. Given the diverse presentation and potential severity of CAF progression, early screening is warranted, as irreversible cardiac remodeling may occur. Some fistulas may be large in the newborn period, but others may increase in size over time. The most substantial shunts typically occur in those fistulas where the coronary artery communicates with the right side of the heart rather than the left, which may result in symptoms of congestive heart failure, particularly in infants and occasionally in newborns. Furthermore, there have been instances of similar presentations in the elderly. Additionally, there exists a risk of thrombosis within these fistulas, which can lead to severe complications such as acute myocardial infarctions, paroxysmal fibrillation, and ventricular arrhythmias. A multimodal evaluation is crucial for achieving an accurate diagnosis at an earlier stage in life. This report presents the case of a 13-year-old female gymnast who sought medical evaluation due to palpitations.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Las fístulas de las arterias coronarias (FAC) representan una categoría poco frecuente de anomalías congénitas que con frecuencia no se diagnostican debido a la ausencia de sintomatología en etapas tempranas de la vida. La mayoría de los casos de FAC se descubren de forma incidental durante un examen diagnóstico por problemas médicos no relacionados. Dada la diversidad en su presentación clínica y la posible gravedad de la progresión, se justifica la detección temprana, ya que puede producirse una remodelación cardiaca irreversible. Algunas fístulas pueden ser grandes en el periodo neonatal, pero otras pueden aumentar de tamaño con el tiempo. Los cortocircuitos significativos suelen producirse en aquellas fístulas en las que la arteria coronaria se comunica con el lado derecho del corazón en lugar del izquierdo, lo que puede provocar síntomas de insuficiencia cardiaca congestiva, en particular en lactantes y, ocasionalmente, en recién nacidos. Asimismo, ha habido casos de presentaciones similares en adultos. Además, existe un riesgo de trombosis dentro de estas fístulas, que puede provocar complicaciones graves, como infartos agudos del miocardio, fibrilación paroxística y arritmias ventriculares. La evaluación multimodal es fundamental para lograr un diagnóstico preciso en una etapa temprana de la vida. En este reporte se presenta el caso de una gimnasta de 13 años que acudió a una evaluación médica debido a palpitaciones.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[coronary fistula]]></kwd>
<kwd lng="en"><![CDATA[right coronary artery]]></kwd>
<kwd lng="en"><![CDATA[color Doppler echocardiography]]></kwd>
<kwd lng="en"><![CDATA[multidetector-row computed tomography]]></kwd>
<kwd lng="en"><![CDATA[right branch of the pulmonary artery]]></kwd>
<kwd lng="es"><![CDATA[fístula coronaria]]></kwd>
<kwd lng="es"><![CDATA[arteria coronaria derecha]]></kwd>
<kwd lng="es"><![CDATA[ecocardiografía Doppler color]]></kwd>
<kwd lng="es"><![CDATA[tomografía computada multidetector]]></kwd>
<kwd lng="es"><![CDATA[rama derecha de la arteria pulmonar]]></kwd>
</kwd-group>
</article-meta>
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<surname><![CDATA[Bass]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Berry]]></surname>
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<name>
<surname><![CDATA[Tainter]]></surname>
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<name>
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<article-title xml:lang=""><![CDATA[Transcatheter closure of a coronary artery fistula in a neonate with tetralogy of Fallot]]></article-title>
<source><![CDATA[Pediatr Cardiol]]></source>
<year>2023</year>
<volume>44</volume>
<numero>4</numero>
<issue>4</issue>
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</article>
