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Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
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Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model

Published on: November 24, 2014

Traumatic coronary artery fistula

G E Haas, G V Parr, R G Trout

    The Journal of Trauma
    |September 1, 1986
    PubMed

    Insights

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

    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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