SURGICAL TREATMENT OF CONGENITAL CORONARY ARTERY FISTULA

Vedat Erentuğ; Nilgün Ulusoy Bozbuğa; Hasan Ardal; Denyan Mansuroğlu; Bülent Mutlu; Kemal Uzun; Erhan Kaya; Kaan Kırali; Esat Akıncı; Cevat Yakut

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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