[Coronary-to-pulmonary artery fistulas: a report of three cases].
Congenital coronary-to-pulmonary artery fistulas are rare anomalies and they generally have an asymptomatic course. We presented three symptomatic patients (2 men, 1 woman; age range 46 to 53 years) who underwent surgical repair via the epicardial approach for coronary-to-pulmonary artery fistulas. Treatment was successful in two patients. Reoperation in extracorporeal circulation was required in one patient having a plexus-like fistula. The distal orifice of the fistula was closed under direct vision from within the pulmonary artery. No complications or symptoms were seen during the follow-up of patients ranging from six months to four years. During repair of coronary-to-pulmonary artery fistulas, the presence of a plexus-like variant must be kept in mind and the treatment should be planned accordingly.
Biçer
Murat
M
Uludağ Universitesi Tip Fakültesi Kalp ve Damar Cerrahisi Anabilim Dali, Bursa, Turkey. mbicer23@yahoo.com
Yanar
Murat
M
Ercan
Abdulkadir
A
Senkaya
Işik
I
D003327:Coronary Disease / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000151:congenital / Q000601:surgery*; D006801:Humans; D008171:Lung Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D012086:Reoperation; D016896:Treatment Outcome