Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Surgical Treatment of an Aneurysmal Coronary Artery Fistula between the Left Coronary Artery and Right Atrium: A Case Report

  • Jae Hoon Kim (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine) ;
  • Jae Suk Yoo (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine)
  • Received : 2023.06.27
  • Accepted : 2023.10.24
  • Published : 2024.03.05
Download PDF
⟨ Previous Next ⟩

Abstract

A coronary artery fistula (CAF) is an abnormal vascular connection between the coronary arteries and the cardiac chambers or major vessels. Although rare, CAFs can lead to substantial coronary morbidity and mortality. This study outlines the surgical management of a CAF originating from the left coronary artery and connecting to the right atrium, in a patient experiencing angina with a marked left-to-right shunt. The surgical approach involved ligation of the coronary artery and reduction of the aneurysmal portion, resulting in the patient's uneventful recovery.

Keywords

Acknowledgement

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors

References

  1. Loukas M, Germain AS, Gabriel A, John A, Tubbs RS, Spicer D. Coronary artery fistula: a review. Cardiovasc Pathol 2015;24:141-8. https://doi.org/10.1016/j.carpath.2014.01.010
  2. Mangukia CV. Coronary artery fistula. Ann Thorac Surg 2012;93:2084-92. https://doi.org/10.1016/j.athoracsur.2012.01.114
  3. Challoumas D, Pericleous A, Dimitrakaki IA, Danelatos C, Dimitrakakis G. Coronary arteriovenous fistulae: a review. Int J Angiol 2014;23:1-10. https://doi.org/10.1055/s-0033-1349162
  4. Sakakibara S, Yokoyama M, Takao A, Nogi M, Gomi H. Coronary arteriovenous fistula: nine operated cases. Am Heart J 1966;72:307-14. https://doi.org/10.1016/s0002-8703(66)80004-2
  5. Shmueli H, Zahn EM, Odudu G, Flint N, Siegel RJ, Tompkins R. Coronary artery fistula: an unexpected cause of heart failure in a 58-year-old woman. JACC Case Rep 2020;2:1192-5. https://doi.org/10.1016/j.jaccas.2020.04.021
  6. Sandor B, Bogats G, Toth L, Habon T. Surgical treatment of heart failure due to giant coronary artery fistula: a case report. ESC Heart Fail 2020;7:3203-7. https://doi.org/10.1002/ehf2.12913
  7. Goo HW. Imaging findings of coronary artery fistula in children: a pictorial review. Korean J Radiol 2021;22:2062-72. https://doi.org/10.3348/kjr.2021.0336
  8. Yun G, Nam TH, Chun EJ. Coronary artery fistulas: pathophysiology, imaging findings, and management-erratum. Radiographics 2018;38:2214. https://doi.org/10.1148/rg.2018184013
  9. Gowda ST, Forbes TJ, Singh H, et al. Remodeling and thrombosis following closure of coronary artery fistula with review of management: large distal coronary artery fistula: to close or not to close? Catheter Cardiovasc Interv 2013;82:132-42. https://doi.org/10.1002/ccd.24699