Surgical treatment of coronary artery fistula with aneurysm.
Two operations for coronary artery aneurysm with fistula are reported. This rare congenital malformation can be associated with acute and chronic complications. Surgical treatment is generally recommended. The surgical strategy remains controversial and is discussed. Retrograde cardioplegic cardiac arrest and retrograde dissection of the fistula are favoured. Conservative treatment of the dilated coronary segments was adopted. In both cases, the postoperative course was uneventful and no residual shunts were diagnosed at postoperative echocardiography.
Wauthy
P
P
Department of Cardiac Surgery, CHU Brugmann, Brussels, Belgium. pierre.wauthy@wanadoo.be
Demanet
H
H
Deuvaert
F E
FE
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D003323:Coronary Aneurysm / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D005260:Female; D006331:Heart Diseases / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016157:Vascular Fistula / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*