Surgical exclusion of a symptomatic circumflex coronary to right atrium fistula | Zendy

Chakib Benlafqih | Zendy; Bertrand Léobon | Zendy; V. Chabbert | Zendy; Y Glock | Zendy

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Surgical exclusion of a symptomatic circumflex coronary to right atrium fistula

Author(s) -

Chakib Benlafqih,

Bertrand Léobon,

V. Chabbert,

Y Glock

Publication year - 2007

Publication title -

interactive cardiovascular and thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.546

H-Index - 56

eISSN - 1569-9293

pISSN - 1569-9285

DOI - 10.1510/icvts.2006.149849

Subject(s) - medicine , fistula , asymptomatic , circumflex , right atrium , heart failure , cardiology , ligation , surgery , radiology , artery , right coronary artery , coronary angiography , myocardial infarction

Coronary artery fistulas are rare and half of them are symptomatic. Diagnosis is confirmed by echocardiography and coronarography and can be precisely located by multislice CT-scan. We report the case of a 56-year-old female patient with congestive heart failure caused by a coronaro-cardiac fistula established between the proximal circumflex coronary artery and the right atrium. Surgical exclusion of the fistula was achieved by ligation of both extremities and a running suture on the aneurysmal vessel. Follow-up at 6 months was satisfactory with an asymptomatic patient and absence of recurrence of the fistula on echocardiography.

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