Thorac Cardiovasc Surg 2013; 61(04): 333-335
DOI: 10.1055/s-0032-1311553
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Coronary Artery Fistula between Left Coronary Artery and Coronary Sinus in Newborn

Bulent Saritas
1   Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey
,
Emre Ozker
1   Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey
,
Uygar Yoruker
1   Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey
,
Can Vuran
1   Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey
,
Riza Turkoz
1   Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey
› Institutsangaben
Weitere Informationen

Publikationsverlauf

12. Februar 2012

01. März 2012

Publikationsdatum:
03. Oktober 2012 (online)

Abstract

Aneurysmal circumflex coronary artery fistula connected to the coronary sinus is a rare clinical entity that usually remains asymptomatic until later in life. The timing of surgical treatment for asymptomatic patients is crucial. The decision to leave or exclude the aneurysmatic coronary artery following ligation of the fistula is controversial. Herein, we report the successful management of a coronary fistula between the circumflex artery and the coronary sinus without using cardiopulmonary bypass during the newborn period.

 
  • References

  • 1 Davis JT, Allen HD, Wheller JJ , et al. Coronary artery fistula in the pediatric age group: a 19-year institutional experience. Ann Thorac Surg 1994; 58 (3) 760-763
  • 2 Nakahira A, Sasaki Y, Hirai H , et al. Rupture of aneurysmal circumflex coronary artery into the left atrium after ligation of its arteriovenous fistula. Circ J 2007; 71 (12) 1996-1998
  • 3 Kalangos A, Karaca S, Cikirikcioglu M, Vala D, Didier D. Aneurysmal circumflex coronary artery with fistulous connection to the coronary sinus. J Thorac Cardiovasc Surg 2005; 130 (2) 580-581
  • 4 Mavroudis C, Backer CL, Rocchini AP, Muster AJ, Gevitz M. Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization. Ann Thorac Surg 1997; 63 (5) 1235-1242
  • 5 Malekahmadi M, Shahmohammadi A. Surgical outcome of coronary artery fistulas repair in children. Pediatr Cardiol 2005; 26 (4) 328-330
  • 6 Aoyagi S, Fukunaga S, Ishihara K, Egawa N, Hosokawa Y, Nakamura E. Coronary artery fistula from the left circumflex to the coronary sinus. Int Heart J 2006; 47 (1) 147-152
  • 7 Liberthson RR, Sagar K, Berkoben JP, Weintraub RM, Levine FH. Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation 1979; 59 (5) 849-854