title: Carotid cavernous fistula in a patient with coronary artery disease.
abstract: Carotid cavernous fistulas are abnormal communications between the carotid and cavernous vasculature, with potential for serious neurological and ocular sequelae. There is considerable literature on the neuro-radiological management of carotico-cavernous fistula depending upon their flow status. The coronary artery bypass grafting (CABG) for coronary artery disease (CAD) is a well established method of revascularization. However, the association of carotid cavernous fistula in presence of CAD is an infrequent occurrence. We present a case of coronary artery disease scheduled for bypass surgery, developed spontaneous bilateral carotid cavernous fistulas, highlighting a unique aspect of association between coronary and carotid disease.
authors.affiliation: Department of Surgery, The Aga Khan University Hospital, Karachi.
authors.forename: Omer
authors.initials: O
authors.lastname: Ashraf
authors.forename: Syed
authors.initials: S
authors.lastname: Shahabuddin
authors.forename: Muhammad Ehsan
authors.initials: ME
authors.lastname: Bari
authors.forename: Hasanat
authors.initials: H
authors.lastname: Sharif
mesh_terms: D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications* / Q000601:surgery; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged