Coronary-to-pulmonary artery fistulas: a report of three cases

Congenital coronary-to-pulmonary artery fistulas are rare anomalies and they generally have an asymptomatic course. We presented three symptomatic patients (2 men, 1 woman; age range 46 to 53 years) who underwent surgical repair via the epicardial approach for coronary-to-pulmonary artery fistulas....

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Published inTürk Kardiyoloji Derneği arşivi Vol. 36; no. 5; pp. 332 - 334
Main Authors Biçer, Murat, Yanar, Murat, Ercan, Abdulkadir, Senkaya, Işik
Format Journal Article
LanguageTurkish
Published Turkey 01.07.2008
Subjects
Coronary Disease - surgery
Coronary Vessel Anomalies - diagnosis
Coronary Vessel Anomalies - surgery
Female
Fistula - congenital
Fistula - surgery
Humans
Lung Diseases - surgery
Male
Middle Aged
Pulmonary Artery - abnormalities
Pulmonary Artery - surgery
Reoperation
Treatment Outcome
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Summary:Congenital coronary-to-pulmonary artery fistulas are rare anomalies and they generally have an asymptomatic course. We presented three symptomatic patients (2 men, 1 woman; age range 46 to 53 years) who underwent surgical repair via the epicardial approach for coronary-to-pulmonary artery fistulas. Treatment was successful in two patients. Reoperation in extracorporeal circulation was required in one patient having a plexus-like fistula. The distal orifice of the fistula was closed under direct vision from within the pulmonary artery. No complications or symptoms were seen during the follow-up of patients ranging from six months to four years. During repair of coronary-to-pulmonary artery fistulas, the presence of a plexus-like variant must be kept in mind and the treatment should be planned accordingly.
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ISSN:1016-5169