Surgical treatment of the coronary artery to pulmonary artery fistulas in adults.
Coronary artery to pulmonary artery fistula (CA-PAF) is a rare congenital anomaly. The purpose of this retrospective study was to analyze 11 adult patients with CA-PAFs treated surgically, and to evaluate the surgical management and long-term results. There were no surgical deaths and all patients survived the follow-up periods (mean 7.2 years). All symptomatic patients improved their New York Heart Association functional class. As surgical correction is safe and effective, with good long-term results, all the patients with CA-PAF in adults can be candidates for surgery to prevent life-threatening complications.
Goto
Y
Y
Department of Cardiovascular Surgery, Akita University, Hondo, Japan. gotoyosh@cvs.med.akita-u.ac.jp
Abe
T
T
Sekine
S
S
Iijima
K
K
Kondoh
K
K
Sakurada
T
T
D000328:Adult; D000368:Aged; D001027:Aortography; D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D016009:Chi-Square Distribution; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies