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

• Published in: Türk Kardiyoloji Derneği arşivi Vol. 36; no. 5; pp. 332 - 334
• Main Authors: Biçer, Murat, Yanar, Murat, Ercan, Abdulkadir, Senkaya, Işik
• Format: Journal Article
• Language: Turkish
• 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
• ISSN: 1016-5169

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.