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  • Title: [Coronary-to-pulmonary artery fistulas: a report of three cases].
    Author: Biçer M, Yanar M, Ercan A, Senkaya I.
    Journal: Turk Kardiyol Dern Ars; 2008 Jul; 36(5):332-4. PubMed ID: 18984986.
    Abstract:
    Congenital coronary-to-pulmonary artery fistulas are rare anomalies and they generally have an asymptomatic course. We presented three symptomatic patients (2 men, 1 woman; age range 46 to 53 years) who underwent surgical repair via the epicardial approach for coronary-to-pulmonary artery fistulas. Treatment was successful in two patients. Reoperation in extracorporeal circulation was required in one patient having a plexus-like fistula. The distal orifice of the fistula was closed under direct vision from within the pulmonary artery. No complications or symptoms were seen during the follow-up of patients ranging from six months to four years. During repair of coronary-to-pulmonary artery fistulas, the presence of a plexus-like variant must be kept in mind and the treatment should be planned accordingly.
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