Surgical Repair of Congenital Coronary Artery Fistula With Giant Aneurysm
DOI:
https://doi.org/10.1532/hsf.2813Abstract
A 67-year-old man with a 3-year history of dyspnea on exertion arrived to our institution with discontinuous palpitations and short breath. He was diagnosed with congenital coronary artery fistula (CAF). Angiography revealed 3 giant aneurysmal formations and coronary artery calcification. We report a case of successful repair of CAF with a giant coronary aneurysm by closing the orifice and resecting the aneurysm and reconstructing the left coronary artery. The surgical procedure included closure from within a vessel dilated by aneurysm and excision of the aneurysm. We were able to completely obliterate the fistula and preserve the normal blood flow through the coronary arteries post operation. The postoperative course was eventful, but the patient was
discharged home. The patient was doing well at his 28-month follow-up visit.
References
Bolukcu A, Topcu AC, Sensoz Y, et al. 2017. Coronary Artery Fistulae Involving Both Right and Left Coronary Arteries. Ann Thorac Surg 103: e261-e262.
Gurkan U, Arugaslan E, Tatlisu MA, et al. 2015. Multiple coronary artery fistulae presenting with ST-elevation myocardial infarction. Anatol J Cardiol 15: E8.
Hashiyama N, Katayama Y, Mo M, et al. 2017. Surgical Repair of Coronary-pulmonary Artery Fistulae with Giant Coronary Aneurysm. Kyobu Geka 70:181-185.
Hou B, Ma WG, Zhang J, et al. 2014. Surgical management of left circumflex coronary artery fistula: a 25-year single-center experience in 29 patients. Ann Thorac Surg 97: 530-536.
Jamali HK, Raza U, Waqar F. 2016. Idiopathic Atrial Fibrillation and Coronary Arteriovenous Fistulae: Is There a Link. Cardiology; 134: 433-435.
Karazisi C, Eriksson P, Dellborg M. 2017. Coronary Artery Fistulas: Case Series and Literature Review. Cardiology 136: 93-101.
Shah AH, Cusimano RJ, Ouzounian M. 2016. Coronary Fistula and Myocardial Ischemia: What is the Relationship? J Invasive Cardiol 28: E134-e135.
Speedie A, Mathew C, Kerr R, et al. 2016. Bilateral Coronary Artery Fistula. J Assoc Physicians India 64: 84-85.
Thakkar B, Patel N, Poptani V, et al. 2015. Clinical and angiographic follow-up of coronary artery fistula interventions in children: techniques and classification revisited. Cardiol Young 25: 670-680.
Wang F, Cranston-D'Amato H, Pearson A. 2015. Coronary Artery Fistula-Associated Endocarditis: Report of Two Cases and a Review of the Literature. Echocardiography; 32: 1868-1872.
Welisch E, Norozi K, Burrill L, et al. 2016. Small coronary artery fistulae in childhood: a 6-year experience of 31 cases in a tertiary paediatric cardiac centre. Cardiol Young; 26: 738-742.
Yim D, Yong MS, d'Udekem Y, et al. 2015. Early Surgical Repair of the Coronary Artery Fistulae in Children: 30 Years of Experience. Ann Thorac Surg 100: 188-194.
Zhang ZG, Xu XD, Bai Y, et al. 2015. Transcatheter closure of medium and large congenital coronary artery fistula using wire-maintaining technique. J Cardiol 66: 509-513.
