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Unusual congenital coronary arterio-venous fistulae with surgical correction
Insights
A fifty-year-old male with anginal syndrome was diagnosed with a congenital coronary arteriovenous fistula. Surgical obliteration of the fistula using extracorporeal circulation proved successful, resolving symptoms.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Vascular Surgery
Background:
- Congenital coronary arteriovenous fistulas are rare anomalies.
- These fistulas can present with diverse clinical symptoms, including anginal syndrome.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
Observation:
- A 50-year-old male presented with symptoms consistent with anginal syndrome.
- Coronary angiography revealed a congenital arteriovenous fistula between the left anterior descending artery and the pulmonary artery.
- Multiple fistulous openings were identified draining into the pulmonary trunk.
Findings:
- The patient underwent successful surgical correction of the coronary arteriovenous fistula.
- Extracorporeal circulation was employed during the procedure to obliterate the fistulous ostia.
- Postoperative recovery was uneventful, with resolution of anginal symptoms.
Implications:
- This case highlights the importance of considering congenital coronary arteriovenous fistulas in the differential diagnosis of anginal syndrome.
- Successful surgical management of such anomalies can lead to complete symptom relief.
- Reviewing pertinent literature aids in understanding the clinical spectrum and management strategies for this rare condition.
Abstract:
A typical case of anginal syndrome in a fifty year old male has been described. The underlying lesion was congenital coronary arterio-venous fistula between the left anterior descending branch of the left coronary artery and pulmonary artery. Diagnosis has been made by coronary angiography and proved at operation. The patient underwent successful operation where a multiple fistulous ostia draining into the pulmonary trunk were obliterated by means of extracorporeal circulation. The pertinent literature related to this congenital anomaly and symptomatology has been reviewed.