Congenital coronary artery fistula--surgical results and late changes in coronary artery aneurysm.
Four pediatric cases of congenital coronary artery fistula were surgically treated and followed for 8 years. In the 3 cases of right coronary artery to right ventricle fistula, regression of coronary artery dilatation was observed postoperatively. In the 1 case of circumflex artery to right atrium fistula, aneurysmal dilatation of the abnormal vessel persisted for 8 years. A reduction in vessel size is expected if the fistula-related coronary artery has a normal course and normal branchings. When the aneurysmal vessel takes an abnormal course without branches, it should be removed surgically along with fistula closure.
Miyamura
H
H
Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Japan.
Eguchi
S
S
Watanabe
H
H
Sugawara
M
M
Takahashi
Y
Y
Shinonaga
M
M
Tatebe
S
S
D002648:Child; D002675:Child, Preschool; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006325:Heart Atria; D006352:Heart Ventricles; D006801:Humans; D008297:Male