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Surgical exclusion of a symptomatic circumflex coronary to right atrium fistula

^a Department of Cardiovascular Surgery B (Pr. Fournial), CHU Rangueil, Toulouse, France
^b Department of Cardiovascular Surgery A, CHU Ibn Sina, Rabat, Morocco
^c Department of Radiology, CHU Rangueil, Toulouse, France

*Corresponding author. Service de chirurgie cardiovasculaire B, CHU de Rangueil, 1 avenue jean Poulhès, 31059 Toulouse Cedex, France. Tel.: +33-561-322-651; fax: +33-561-322-959.

E-mail address: bertrand.leobon{at}libertysurf.fr (B. Léobon).

Coronary artery fistulas are rare and half of them are symptomatic. Diagnosis is confirmed by echocardiography and coronarography and can be precisely located by multislice CT-scan. We report the case of a 56-year-old female patient with congestive heart failure caused by a coronaro-cardiac fistula established between the proximal circumflex coronary artery and the right atrium. Surgical exclusion of the fistula was achieved by ligation of both extremities and a running suture on the aneurysmal vessel. Follow-up at 6 months was satisfactory with an asymptomatic patient and absence of recurrence of the fistula on echocardiography.

Key Words: Cardiac anatomy; Computed tomography; Coronary artery pathology

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ICVTS on-line discussion A Coronary artery fistulae: history and surgical experience

Leo A. Bockeria, Vladimir P. Podzolkov, Bagrat G. Alekyan, and Osman A. Makhachev
Interactive CardioVascular and Thoracic Surgery 2007 6: 414-415. [Full Text] [PDF]

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				L. A. Bockeria, V. P. Podzolkov, B. G. Alekyan, and O. A. Makhachev ICVTS on-line discussion A Coronary artery fistulae: history and surgical experience Interactive CardioVascular and Thoracic Surgery, June 1, 2007; 6(3): 414 - 415. [Full Text] [PDF]