Surgical therapy of a coronary artery fistula draining into the left atrium.
Coronary artery fistulas (CAFs) are rare vascular anomalies. We describe a case of CAF draining into the left atrium, combined with an atrial septum defect (ASD) and azygos continuity in a 3-year-old girl. Surgical therapy included closure of the ASD combined with closure of the CAF through a left atrial approach. Even though CAF can be treated by interventional means, surgical correction may be required in the presence of associated cardiac abnormalities.
Boening
A
A
Department of Cardiovascular Surgery, Christian-Albrechts University, Arnold-Heller-Str. 7, 24105 Kiel, Germany. aboening@kielheart.uni-kiel.de
Scheewe
J
J
Fischer
G
G
Cremer
J
J
D020517:Atrial Appendage / Q000002:abnormalities* / Q000601:surgery; D002675:Child, Preschool; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000601:surgery; D006801:Humans