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Surgical repair of triple coronary-pulmonary artery fistulae with associated atrial septal defect and aortic valve regurgitation

^a Cardiothoracic Unit, Block C5, University Hospital of Wales, Cardiff, CF14 4XW, UK
^b Cardiology Department, University Hospital of Wales, Cardiff, CF14 4XW, UK

*Corresponding author. Tel.: +44 2920 747747; fax: +44 2920 745439, URL: http://www.ctsnet.org/home/hluckraz.

E-mail address: HeymanLuckraz{at}aol.com (H. Luckraz).

Coronary arterio-venous fistulae are congenital or acquired cardiac anomalies whereby blood bypasses the myocardial capillary network. Involvement of all three coronary arteries is rare. There is a wide variation in the clinical presentation and the actual morphological malformations. The mainstay of treatment is either surgical or coil embolisation. Associated congenital malformations can be dealt with during the same surgical setting if required. We present a case of coronary arterio-venous fistula involving all three coronary arteries with associated atrial septal defect and acquired aortic regurgitation, all of which were dealt with surgically with good surgical outcome.

Key Words: Coronary artery fistula