Surgical exclusion of a symptomatic circumflex coronary to right atrium fistula.
Coronary artery fistulas are rare and half of them are symptomatic. Diagnosis is confirmed by echocardiography and coronarography and can be precisely located by multislice CT-scan. We report the case of a 56-year-old female patient with congestive heart failure caused by a coronaro-cardiac fistula established between the proximal circumflex coronary artery and the right atrium. Surgical exclusion of the fistula was achieved by ligation of both extremities and a running suture on the aneurysmal vessel. Follow-up at 6 months was satisfactory with an asymptomatic patient and absence of recurrence of the fistula on echocardiography.
Department of Cardiovascular Surgery B (Pr. Fournial), CHU Rangueil, Toulouse, France.
Chakib
C
Benlafqih
Bertrand
B
Léobon
Valérie
V
Chabbert
Yves
Y
Glock
D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D006325:Heart Atria / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008026:Ligation; D008875:Middle Aged; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000601:surgery*