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  • Title: [Coronary-pulmonary arterial fistula in the adult: report of 6 cases and review of the literature].
    Author: Cherif A, Farhati A, Fajraoui M, Boussaada R, Hmam M, Ezzar T, Mourali S, Mechmeche R.
    Journal: Tunis Med; 2003 Aug; 81(8):595-9. PubMed ID: 14608746.
    Abstract:
    Six new patients and 33 previously reported with coronary-to-pulmonary artery fistula were reviewed. The mean age at the time of diagnosis was 51 years. A male predominance was found (65%). Angina was the most common symptom. The artery mostly involved was the left anterior descending coronary artery and the fistula drained more often to the main pulmonary artery. The left-to-right shunt is small in the majority of patients and the associated significant coronary artery disease was detected in 18% of cases. Good results of surgical closure of the fistula are usually obtained. An alternative to surgical treatment is percutaneous transcatheter embolization of coronary artery fistulas.
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