Large bilateral coronary artery fistula: the choice of clinical treatment.
We report the case of an asymptomatic female patient, with a large non-complicated bilateral coronary-pulmonary artery fistula. Clinical monitoring was the choice of treatment. We discuss the therapeutic options in depth, emphasizing the excessive tendency of the surgical approach and the great scarcity of reports on long-term clinical follow-up in asymptomatic patients.
Instituto do Coração do Hospital das Clínicas, FMUSP, São Paulo, SP, Brasil.
Luciana Oliveira Cascaes
LO
Dourado
Aécio Flávio Teixeira de
AF
Góis
Whady
W
Hueb
Luiz Antônio Machado
LA
César
D001159:Arterio-Arterial Fistula / Q000175:diagnosis / Q000628:therapy*; D003327:Coronary Disease / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011859:Radiography; D014463:Ultrasonography