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Traumatic coronary artery fistula.

G E Haas, G V Parr, R G Trout

    The Journal of Trauma
    |September 1, 1986
    PubMed
    Summary

    Coronary artery fistulas can develop after cardiac trauma. Surgical correction is recommended before symptoms like angina or heart failure appear to prevent recurrence.

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    Area of Science:

    • Cardiology
    • Cardiac Surgery
    • Trauma Surgery

    Background:

    • Coronary artery fistulas (CAFs) are abnormal connections between a coronary artery and a cardiac chamber or great vessel.
    • CAFs can arise following cardiac trauma, although they are rare.

    Observation:

    • A case of a right coronary artery-right atrial fistula is presented, developing two years post-injury.
    • The fistula was identified in a patient with a history of cardiac trauma.

    Findings:

    • Literature suggests surgical correction of CAFs is crucial before symptom onset.
    • Recommended surgical procedure involves proximal and distal ligation of the affected coronary artery with distal bypass grafting.

    Implications:

    • Timely surgical intervention for CAFs post-trauma can prevent debilitating symptoms such as angina, pulmonary hypertension, and congestive heart failure.
    • The described surgical technique is associated with lower recurrence rates compared to other methods.

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