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  • Title: Congenital coronary artery fistula--surgical results and late changes in coronary artery aneurysm.
    Author: Miyamura H, Eguchi S, Watanabe H, Sugawara M, Takahashi Y, Shinonaga M, Tatebe S.
    Journal: Jpn Circ J; 1995 Dec; 59(12):786-9. PubMed ID: 8788369.
    Abstract:
    Four pediatric cases of congenital coronary artery fistula were surgically treated and followed for 8 years. In the 3 cases of right coronary artery to right ventricle fistula, regression of coronary artery dilatation was observed postoperatively. In the 1 case of circumflex artery to right atrium fistula, aneurysmal dilatation of the abnormal vessel persisted for 8 years. A reduction in vessel size is expected if the fistula-related coronary artery has a normal course and normal branchings. When the aneurysmal vessel takes an abnormal course without branches, it should be removed surgically along with fistula closure.
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