ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
SURGICAL TREATMENT OF CONGENITAL CORONARY ARTERY FISTULA
Vedat Erentuğ1, Nilgün Ulusoy Bozbuğa1, Hasan Ardal1, Denyan Mansuroğlu1, Bülent Mutlu2, Kemal Uzun1, Erhan Kaya1, Kaan Kırali1, Esat Akıncı1, Cevat Yakut1
1Koşuyolu Kalp Eğitim ve Araştırma Hastanesi, Kalp Damar Cerahisi Kliniği, İstanbul
2Koşuyolu Kalp Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, İstanbul
Background: Congenital coronary artery fistulas are rare congenital anomalies developing from embriological malformation of coronary circulation.

Methods: Between 1985 and 2002, five male and three female, eight cases underwent surgical closure of the congenital coronary artery fistula with the aid of cardiopulmonary bypass. Additional coronary artery bypass grafting (in six cases) and valve replacement procedures (in two cases) were performed.

Results: There was no operative mortality. One patient with coronary disease and severe left ventricular dysfunction died three years later postoperatively. Control angiography was performed in seven patients. Recurrence was not detected in any patients.

Conclusion: We advocate that coronary artery fistula can be operated by either extracardiac or intracardiac approaches without mortality and morbidity.

Keywords : Coronary artery fistulas, coronary anomalous, coronary malformation
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