Six patients with coronary artery fistula were treated surgically between October 1977 and November 1998. The clinical manifestations, diagnostic criteria, indications for operation, and surgical techniques were evaluated. One patient died from ventricular fibrillation on the 2nd postoperative day. The outcome for the other 5 patients was good; symptoms and heart murmurs disappeared and all are alive and well after 10 to 21 years of follow-up. It was concluded that analysis of clinical data can confirm the diagnosis and this condition can be treated satisfactorily by suitable surgery.
Get full access to this article
View all access options for this article.
References
1.
MeyerJReulGIMullinsCEMcCoyJHallmanGL. Congenital fistulae of the coronary arteries: Clinical considerations and surgical management in 23 patients. J Thorac Cardiovasc Surg1975;16: 506–10.
2.
GuK. Congenital coronary artery disorder. Textbook of thoracic and cardiovascular surgery. Beijing: People's Health Publishing House, 1981: 863.
MirotaJAkiyamaKHashimotoASugimotoMHimulaD. A successful surgical treatment for huge left circumflex artery-right ventricle fistula using the fistula occlusion test. Nippon Kyobu Gekai Zasshi1997;45: 1782–6.
6.
GotoYAbeTSekineSMelerD. Surgical treatment of the coronary artery-pulmonary artery fistula in an adult. Cardiology1998;89: 252–6.
7.
LanX. Coronary artery anomaly. Textbook of cardiovascular surgery. Beijing: People's Health Publishing House, 1985: 586.
8.
SchumacherGRoithmaierALorenzHPJeamusHL. Congenital coronary artery fistula in infancy and childhood: Diagnostic and therapeutic aspects. Thorac Cardiovasc Surg1997;45: 287–94.
9.
GuK. Thoracic and cardiovascular surgery. 2nd ed.Beijing: People's Health Publishing House, 1996: 748–51.
