title: Hybrid approach to closure of an acquired coronary-cameral fistula.
abstract: Coronary-cameral fistula is an abnormal fistulous communication between a coronary artery and a cardiac chamber. Significant fistulae require closure either percutaneously or surgically to avoid any complications. We describe the case of a 19-year-old male patient with tetralogy of Fallot, who presented with a complex coronary-cameral fistula, which precluded percutaneous occlusion. By means of a hybrid approach, the fistula was easily located and closed surgically. Where surgical correction of such fistulae is warranted in the setting of other cardiac defects, a hybrid approach to isolate the fistula followed by surgical intervention will reduce operative time, thereby potentially lowering perioperative complications.
authors.affiliation: Adult Congenital Heart Disease Unit, Central Manchester University Hospitals Foundation Trust, Manchester, United Kingdom. Electronic address: imthiazmanoly@gmail.com.
authors.forename: Imthiaz
authors.initials: I
authors.lastname: Manoly
authors.affiliation: Adult Congenital Heart Disease Unit, Central Manchester University Hospitals Foundation Trust, Manchester, United Kingdom.
authors.forename: Vaikom S
authors.initials: VS
authors.lastname: Mahadevan
authors.affiliation: Adult Congenital Heart Disease Unit, Central Manchester University Hospitals Foundation Trust, Manchester, United Kingdom.
authors.forename: J Andreas
authors.initials: JA
authors.lastname: Hoschtitzky
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D005402:Fistula / Q000601:surgery*; D006331:Heart Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D016157:Vascular Fistula / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods; D055815:Young Adult