Related Experiment Videos
Congenital bilateral coronary-to-pulmonary artery fistulas
A S Olearchyk1, D M Runk, M Alavi
1Section of Cardiothoracic Surgery, Episcopal Hospital, Philadelphia, Pennsylvania, USA.
Insights
This study details the successful surgical closure of rare, congenital coronary artery fistulas in an older woman. Both right and left coronary artery fistulas were precisely ligated and closed using cardiopulmonary bypass.
Area of Science:
- Cardiovascular Surgery
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Coronary artery fistulas are uncommon congenital abnormalities.
- Bilateral fistulas originating from different coronary segments are exceptionally rare.
- Diagnosis and management in older adults present unique challenges.
Abstract:
Rare, congenital bilateral coronary-to-pulmonary artery fistulas in an older woman, one originating from the proximal right coronary artery and the other from a distal left main coronary artery and draining to the proximal main pulmonary artery, were successfully dissected, identified, and ligated proximally and also closed distally on a beating heart with cardiopulmonary bypass standby.