Coronary artery to pulmonary artery fistula with dual origin--embryological, clinical and surgical significance. |
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| Authors: | Karthik Ramakrishnan Vaidyanathan Sanjay A C Theodore Madhu Nainar Sankar Kotturathu Mammen Cherian |
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| Affiliation: | Department of Cardiac Surgery, International Center for CardioThoracic and Vascular Diseases, R-30-C Ambattur Industrial Estate Road Mogappair, Chennai 600101, India. rkvdoc@rediffmail.com |
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| Abstract: | Coronary artery fistulae are rare anomalies encountered in 0.1-0.2% of angiographic series. We recently encountered a patient evaluated for mitral valve disease who incidentally had bilateral coronary artery fistulae detected on preoperative angiogram. These fistulae drained into the pulmonary artery. She underwent successful transpulmonary closure of the fistula along with mitral valve repair. We discuss the embryological basis of this anomaly and the clinical as well as surgical significance. |
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