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[Coronary fistulas, their diagnosis and treatment]
Ceskoslovenska Pediatrie
|February 1, 1992
Insights
Congenital coronary fistulas, diagnosed via murmurs, were identified in 10 patients. Surgical elimination of left-right shunts in five patients resulted in favorable outcomes.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Vascular Surgery
Context:
- Congenital coronary fistulas are rare cardiac malformations.
- Diagnosis often relies on characteristic systolic-diastolic murmurs.
- Coronarography is crucial for precise localization.
Purpose:
- To report the diagnosis and management of congenital coronary fistulas.
- To evaluate the efficacy of surgical intervention for significant shunts.
Summary:
- Ten patients with congenital coronary fistulas were identified.
- Coronarography confirmed fistula locations, including connections to the right atrium, right ventricle, pulmonary artery, and sinus coronarius cordis.
- Five patients with significant left-right shunts underwent successful surgical elimination with favorable postoperative courses.
Impact:
- Highlights the diagnostic utility of murmurs and coronarography.
- Demonstrates the successful surgical management of congenital coronary fistulas.
- Emphasizes favorable outcomes following surgical correction of left-right shunts.
Abstract:
Congenital coronary fistulas diagnosed from systolic-diastolic murmurs were detected in 10 patients. They were verified and located by coronarography in six patients between the right coronary artery and right atrium, right ventricle and pulmonary artery; in four patients between the left coronary artery and pulmonary artery and sinus coronarius cordis. In five patients followed marked left-right shunt the fistula was surgically eliminated by a very favourable postoperative course.