Document Detail


Surgical treatment of congenital coronary artery fistulas: 27 years' experience and a review of the literature.
MedLine Citation:
PMID:  12220072     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM OF THE STUDY: A congenital coronary artery fistula (CAF) is a relatively rare congenital anomaly and is defined as an abnormal direct communication between any coronary artery and any of the cardiac chambers. This article reviews our experience over the past 27 years, as well as other literature, and discusses the surgical indications and methods relating to CAF. METHODS: From 1973, 25 patients aged from 2 to 69 years underwent surgical treatment for congenital CAF. Seventeen patients were diagnosed as isolated CAF. All patients under 19 years of age with isolated CAF were asymptomatic. Twenty fistulas originated from the left coronary artery and 9 from the right. The pulmonary artery was the most dominant drainage site. Four patients among the isolated CAF cases were surgically treated without a cardiopulmonary bypass. RESULTS: All patients were discharged from hospital without any perioperative complications. Postoperative coronary angiography was done on all patients with only one slightly residual CAF flow. The average follow-up time was 9.6 years and all patients were asymptomatic and doing well. CONCLUSIONS: Definitive surgical correction is safe and effective, with good results. Therefore, it should be considered even in asymptomatic patients because of the risk of future complications.
Authors:
Hiroyuki Kamiya; Tamotsu Yasuda; Hiroshi Nagamine; Naoki Sakakibara; Satoru Nishida; Michio Kawasuji; Go Watanabe
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  17     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2002 Mar-Apr
Date Detail:
Created Date:  2002-09-10     Completed Date:  2003-01-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  173-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Kanazawa University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arteries / abnormalities,  surgery
Arteriovenous Fistula / congenital*,  radiography,  surgery*
Cardiac Surgical Procedures*
Cardiopulmonary Bypass
Child
Child, Preschool
Coronary Angiography
Coronary Artery Disease / congenital*,  radiography,  surgery*
Coronary Vessels / surgery
Female
Follow-Up Studies
Humans
Japan
Male
Middle Aged
Pulmonary Artery / abnormalities,  radiography,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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