
Perioperative implications of Coronary–cameral fistula
Author(s) -
Monish S Raut,
Vijay Mohan Hanjoora,
Akhil Govil
Publication year - 2019
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_99_18
Subject(s) - medicine , asymptomatic , perioperative , fistula , cardiology , coronary steal , cardiac surgery , surgery , coronary angiography , myocardial infarction
Coronary-cameral fistulas (CCFs) are mostly congenital in origin and rarely acquired. Clinical symptoms are decided by the hemodynamic significance of the coronary fistula. Even in asymptomatic patients, it is essential to know about coronary CCF particularly if the patient is to undergo cardiac surgery with cardioplegic cardiac arrest. Incidental finding of coronary CCF should never be ignored. Intraoperative myocardial protection and methods used are significantly influenced by such fistula.