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Surgical therapy of a coronary artery fistula draining into the left atrium
Authors:Boening A  Scheewe J  Fischer G  Cremer J
Affiliation:(1) Department of Cardiovascular Surgery, Christian-Albrechts University, Arnold-Heller-Str. 7, 24105 Kiel, Germany, DE;(2) Department of Pediatric Cardiology, Christian-Albrechts University, Schwanenweg 20, 24105 Kiel, Germany, DE
Abstract:Coronary artery fistulas (CAFs) are rare vascular anomalies. We describe a case of CAF draining into the left atrium, combined with an atrial septum defect (ASD) and azygos continuity in a 3-year-old girl. Surgical therapy included closure of the ASD combined with closure of the CAF through a left atrial approach. Even though CAF can be treated by interventional means, surgical correction may be required in the presence of associated cardiac abnormalities.
Keywords:: Coronary artery fistula —   Interventional therapy —   Surgical therapy
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