title: Surgical management of a double coronary cameral fistula associated with mitral and tricuspid regurgitation, patent foramen ovale, and chronic atrial fibrillation.
abstract: Coronary cameral fistula, a rare acyanotic congenital or acquired anomaly that involves a large communication between one of the coronary arteries and a cardiac chamber, is the most important hemodynamically significant coronary artery abnormality. This case report is the first description of the combination of double coronary artery cameral fistulas associated with pulmonary hypertension and congestive heart failure and complicated by mitral and tricuspid regurgitation, patent foramen ovale, and chronic atrial fibrillation.
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital of Wales, Cardiff, UK. gdimitrakakis@yahoo.com
authors.forename: Georgios
authors.initials: G
authors.lastname: Dimitrakakis
authors.forename: Richard
authors.initials: R
authors.lastname: Wheeler
authors.forename: Ulrich
authors.initials: U
authors.lastname: Von Oppell
authors.forename: Georgios
authors.initials: G
authors.lastname: Zilidis
authors.forename: Nauroz
authors.initials: N
authors.lastname: Masani
authors.forename: Andrew
authors.initials: A
authors.lastname: Wood
authors.forename: Peter
authors.initials: P
authors.lastname: Grooves
mesh_terms: D001281:Atrial Fibrillation / Q000150:complications*; D002908:Chronic Disease; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D054092:Foramen Ovale, Patent / Q000150:complications*; D006333:Heart Failure / Q000150:complications; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000150:complications*; D016157:Vascular Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*