title: Anesthesia for surgical correction of coronary artery fistula without extracorporeal circulation: case report.
abstract: OBJECTIVE
  Described by Krause in 1865 (1), coronary artery fistula communicating with cardiac cavities, pulmonary artery, or coronary sinus is very rare. It represents 0.2% to 0.4% of congenital cardiopathies and 0.1% and 0.2% of the adult population undergoing coronary angiography (2). The objective of this report is to present the anesthetic management for surgical closure of a coronary fistula in an elective procedure, considering its particularities.
  
  
  METHODS
  This is a 59-year old male patient, whose coronary fistula was diagnosed during clinical investigation of progressive thoracic pain and long-standing dyspnea. The patient underwent surgical correction of coronary artery fistula under general anesthesia without extracorporeal circulation (ECC). The patient evolved without intercurrences, being discharged from the hospital with clinical improvement 7 days after surgery.
  
  
  CONCLUSIONS
  Coronary artery fistula is rare, but the anesthesiologist may be faced with this type of patient in distinct situations. Understanding its pathophysiology is important for better perioperative management of the patient, therefore improving the prognosis.
authors: Brazilian Society for Pain Study, Acupuncture Specialist, Brazilian Medical Society for Acupuncture, Brazil. raquelrsoares@globo.com
authors: Raquel Reis
authors: RR
authors: Soares
authors: Leonardo Ferber
authors: LF
authors: Drumond
authors: Leonardo Alves
authors: LA
authors: Araújo
authors: Matheus Ferber
authors: MF
authors: Drumond
authors: Michelle Nacur
authors: MN
authors: Lorentz
mesh_terms: D000758:Anesthesia; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005112:Extracorporeal Circulation; D006801:Humans; D008297:Male; D008875:Middle Aged; D016157:Vascular Fistula / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods