Surgical Treatment of the Congenital Fistulae of Coronary Arteries

Background and objectives: Described by Krause in 1865 1 , coronary artery fistula communicating with cardiac cavities, pulmonary artery, or coronary sinus is very rare. It represents 0.2% to 0.4% of congenital cardiopathies and 0.1% and 0.2% of the adult population undergoing coronary angiography 2. The objective of this report is to present the anesthetic management for surgical closure of a coronary fistula in an elective procedure, considering its particularities. Case report: This is a 59-year old male patient, whose coronary fistula was diagnosed during clinical investigation of progressive thoracic pain and long-standing dyspnea. The patient underwent surgical correction of coronary artery fistula under general anesthesia without extracorporeal circulation (ECC). The patient evolved without intercurrences, being discharged from the hospital with clinical improvement 7 days after surgery. Conclusions: Coronary artery fistula is rare, but the anesthesiologist may be faced with this type of patient in distinct situations. Understanding its pathophysiology is important for better perioperative management of the patient, therefore improving the prognosis.

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Fístula da artéria coronária: relato de três casos operados e revisão da literatura

Groppo¹,

Coimbra²,

Santos³

2002

Rev Bras Cir Cardiovasc

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Fístulas das artérias coronárias têm incidência baixa entre as cardiopatias congênitas, muitas vezes assintomáticas, devendo ser suspeitadas quando há presença de sopro contínuo no precórdio. Podem apresentar sintomas de precordialgia ou insuficiência cardíaca e devem ser estudadas adequadamente para tratamento seguro, tanto cirúrgico como por cateterismo ou acompanhamento clínico. No presente trabalho são relatados três casos tratados por operação com resultado satisfatório e a literatura é revisada.
Coronary arteries fistulas have low incidence on the congenital heart defects, many times they are assymptomatic, and have to be suspected when continuous cardiac murmur is present. The symptoms can be precordial pain or cardiac failure and they must be studied correctly to a save surgical management or clinic treatment. In this paper are related three cases surgically treated with good results and literature review

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Surgical Treatment of the Congenital Fistulae of Coronary Arteries

Cited by 3 publications

References 10 publications

Anesthesia for Surgical Correction of Coronary Artery Fistula without Extracorporeal Circulation: Case Report

Anesthesia for Surgical Correction of Coronary Artery Fistula without Extracorporeal Circulation: Case Report

Anestesia para correção cirúrgica de fístula de artéria coronária sem circulação extracorpórea: relato de caso

Fístula da artéria coronária: relato de três casos operados e revisão da literatura

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