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. 2013 Jan 25;5(1):16-7.
doi: 10.1136/heartasia-2012-010169. eCollection 2013.

Coronary artery fistula draining into pulmonary artery and optimal management: a review

Radoslaw Adam Rippel  1 , Shyam Kolvekar  1
Affiliations

Coronary artery fistula draining into pulmonary artery and optimal management: a review

Radoslaw Adam Rippel et al. Heart Asia. .

Abstract

Coronary artery fistula is a rare congenital malformation of high variability. The disease is illustrated with a description of a case example. The management of patients with coronary artery fistulas remains controversial. Both spontaneous regression and life threatening complications have been described. The fistula can be ligated or embolised; however, there are no long term outcome data regarding management. Intraoperative risk of myocardial infarction is less than 5% and death rate varies between 0% and 6%. Due to a small number of cases being described in the literature and a lack of evidence on optimal management, further research is needed in order to determine the best treatment options.

Keywords: cardiac surgery; congenital heart disease; coronary artery disease.

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Figures

Figure 1
Figure 1
Picture of a coronary angiogram showing an abnormal coronary fistula arising from the left anterior descending artery and draining into the pulmonary artery.
Figure 2
Figure 2
Intraoperative view of the coronary artery fistula arising from the left anterior descending artery and draining into the pulmonary artery. The origin is coloured with purple marker.
Figure 3
Figure 3
The fistula has been closed of using a slip knot. It was applied in the most proximal aspect of the fistula (closest to left anterior descending artery).
See this image and copyright information in PMC

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