Thorac Cardiovasc Surg 2009; 57(8): 493-495
DOI: 10.1055/s-0029-1185572
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Successful Surgical Treatment of Giant Main Coronary Artery Fistula Connecting to Right Atrium

A. Akcay1 , A. Yasim2 , S. Koroglu1
  • 1Cardiology Department, Kahramanmaras Sutcu Imam University, Faculty of Medicine, Kahramanmaras, Turkey
  • 2Cardiovascular Surgery Department, Kahramanmaras Sutcu Imam University, Faculty of Medicine, Kahramanmaras, Turkey
Further Information

Publication History

received February 7, 2009

Publication Date:
14 December 2009 (online)

Abstract

Coronary artery fistulas are rare; they are defined as congenital or acquired coronary artery abnormalities in which blood is shunted into a cardiac chamber, great vessel, or other structure, bypassing the myocardial capillary network. We report here on a case of successful surgical treatment of a giant left main coronary artery fistula in a 29-year-old man who presented to our institution with exertional dyspnea. In this report, the different methods of management are also discussed and the indications for the surgical technique are briefly outlined.

References

  • 1 Gillebert C, Van Hoof R, Van de Werf F, Piessens J, De Geest H. Coronary artery fistulas in an adult population.  Eur Heart J. 1986;  7 437-443
  • 2 Cheung D L, Au W K, Cheung H H, Chiu C S, Lee W T. Coronary artery fistulas: long-term results of surgical correction.  Ann Thorac Surg. 2001;  71 190-195
  • 3 Vavuranakis M, Bush C A, Boudoulas H. Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history.  Cathet Cardiovasc Diagn. 1995;  35 116-120
  • 4 Gamma R, Seiler J, Moschovitis G, Mohacsi P, Berdat P, Zenklusen R Z et al. Giant coronary artery fistula complicated by cardiac tamponade.  Int J Cardiol. 2006;  107 413-414
  • 5 Kamiya H, Yasuda T, Nagamine H, Sakakibara N, Nishida S, Kawasuji M et al. Surgical treatment of congenital coronary artery fistulas: 27 years' experience and a review of the literature.  J Card Surg. 2002;  17 173-177
  • 6 Schleich J M, Rey C, Gewillig M, Bozio A. Spontaneous closure of congenital coronary artery fistulas.  Heart. 2001;  85 (4) E6
  • 7 Gandy K L, Rebeiz A G, Wang A, Jaggers J J. Left main coronary artery-to-pulmonary artery fistula with severe aneurysmal dilatation.  Ann Thorac Surg. 2004;  77 1081-1083
  • 8 Sim J Y, Alejos J C, Moore J W. Techniques and applications of transcatheter embolization procedures in pediatric cardiology.  J Interv Cardiol. 2003;  16 425-448

Dr. Ahmet Akcay

Cardiology Department
Kahramanmaras Sutcu Imam University, Faculty of Medicine

Yoruk Selim Mah., Hastane Cad., Kahramanmaras Sutcu Imam Universitesi Arastirma Ve Uygulama Hastanesi

46050 Kahramanmaras

Turkey

Phone: + 90 34 42 21 23 37

Fax: + 90 34 42 21 72 39

Email: dr.akcay@yahoo.com.tr