title: [Coronary-to-pulmonary artery fistulas: a report of three cases].
abstract: 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.
authors.affiliation: Uludağ Universitesi Tip Fakültesi Kalp ve Damar Cerrahisi Anabilim Dali, Bursa, Turkey. mbicer23@yahoo.com
authors.forename: Murat
authors.initials: M
authors.lastname: Biçer
authors.forename: Murat
authors.initials: M
authors.lastname: Yanar
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Ercan
authors.forename: Işik
authors.initials: I
authors.lastname: Senkaya
mesh_terms: 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