Paper Information

Journal:   IRANIAN HEART JOURNAL (IHJ)   Winter 2003 , Volume 4 , Number 4; Page(s) 35 To 39.
 
Paper: 

SURGICAL OUTCOME IN CORONARY ARTERY FISTULA REPAIR IN CHILDREN

 
 
Author(s):  MALEK AHMADI M.R.*, SHAH MOHAMMADI A.A., TABATABAEI A.H.
 
* SHAHREDORD UNIVERSITY OF MEDICAL SCIENCES
 
Abstract: 
Background- Coronary artery fistula (CAF) is a rare congenital anomaly that can be ‎complicated by endocarditis, myocardial infarction or coronary aneurysms. The ‎purpose of this article is to review the clinical characteristics and surgical outcome in ‎‎10 patients with CAF‏.‏‎
‎ Methods- From 1990 to 2000, ten patients (aged 6 months to 15 years with a mean of ‎‎8.5 years) were diagnosed with CAF via echocardiography and cardiac ‎catheterization. Six were female and 4 were male. All the patients with isolated CAF ‎‎(9) were asymptomatic. One patient with associated anomaly (MVP with severe MR) ‎had dyspnea on exertion and palpitation‏.‏‎
‎ Results- Five fistulas originated from the right coronary artery, three from the left and ‎two from the left circumflex. Drainage was to the right ventricle (7), right atrium (2) ‎and pulmonary artery (1). The ratio of pulmonary to systemic flows ranged between 1 ‎to 1.6. All the patients had surgical ligation. In the symptomatic patient, in addition to ‎ligation, mitral valve replacement was performed. There was no operative or late ‎death. Follow-up evaluation ranging from 1 year to 6 years with a mean of 4.2 years ‎showed no evidence of recurrent or residual CAF‏.‏‎
‎ Conclusion- Surgical management of CAF is a safe and effective treatment, resulting ‎in 100% closure rate (Iranian Heart Journal 2003; 4 (4):35-38).‎
 
Keyword(s): CORONARY ARTERY FISTULA M SURGICAL LIGATION M OUTCOME
 
References: 
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