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Document Details : Title: Coronary artery fistula in a diabetic patient with multiple vascular and other complications Subtitle: A case report with review Author(s): SINGH, Harshinder , MEHTA, Mahaveer , JAIN, Abnash C. , KONDA, Subbareddy , CRUZZAVALA, Jose Journal: Acta Cardiologica Volume: 59 Issue: 5 Date: October 2004 Pages: 573-576 DOI: 10.2143/AC.59.5.2005236 Abstract : Coronary arteriovenous fistula is a rare vascular anomaly. It is a precapillary fistula that abnormally connects one of the main coronary arteries (CA) to a cardiac chamber or coronary sinus or a great vessel.It drains most frequently into any one of the ventricles, the pulmonary arteries, coronary sinus, superior vena cava or pulmonary veins. Krause (1865) in his pathology report published the first description of fistula draining from CA to pulmonary artery. In 1947, Biorck and Crafoord performed first surgical closure. Zuberbuhler did the first therapeutic embolization of the abnormal vessel. Till 1965 only 14 cases were diagnosed by angiography and Levin in 1978 published a review with 21 cases of his own that had undergone angiography. According to him unilateral CA fistulas that originate from the left descending CA and drain into the pulmonary artery are much less common than those arising from the right CA.There is paucity of publications with simultaneous surgery for removal of CA fistula and double vessel bypass surgery. We describe a case of unilateral fistula arising from the left coronary artery and draining into the pulmonary artery.The fistula was removed surgically and a simultaneous bypass of 2 CA was performed.This case report is associated with a review of the literature. |
