Left Main Coronary Artery Fistula Research Articles

Long-Term Follow-Up of a Nonprogressive Left Main Coronary Artery Fistula to Right Atrium

Coronary artery fistula is a rare cardiac abnormality, occurring more frequently in young patients and treated with cardiac surgery or percutaneous interventions in most cases. We present the case of a 63-year-old man with an incidental diagnosis of coronary artery fistula, treated with conservative strategy. (Level of Difficulty: Intermediate.)

LEFT MAIN CORONARY ARTERYTO CORONARY SINUS FISTULA

Coronary artery fistulas are a rare cardiac anomaly making up 0.1 to 0.2% of all congenital heart defects. Coronary artery fistulas to the coronary sinus are even more rare. We describe a case of a left main coronary artery fistula to the coronary sinus. The patient is a 66-year-old male with a

Giant Aneurysmal Left Main Coronary Artery to Right Atrium Fistula. A Case for Surgical Approach

Coronary artery fistula (CAF) is a rare congenital anomaly that can be associated with intracardiac shunts, endocarditis, myocardial infarction, or coronary aneurysms. Recent reports have emphasized the efficacy of early closure either by percutaneous transcatheter or open surgical techniques. The purpose of this article is to review a case of 43 year-old male who presented for repair of a giant aneurysmal left main coronary artery fistula emptying into the right atrium. The giant aneurysm fistula dilatation was maximally measured to be 4.3 cm x 3.5 cm. There was clear left pulmonary vein compression and the giant size raised the question of aneurysm. With its unpredictable nature and patient’s worsening symptoms and physical activity limitation, a direct ligation of fistulous tract was performed. Surgical management was safe treatment and efficacious.

Left Main Coronary Artery Fistula to the Right Atrium and Superior Vena Cava: Case Report and Review of the Literature

A unique arteriovenous fistula, originating from the left main coronary artery and branching to drain into the right atrium and superior vena cava is presented with review of the literature.

Successful Surgical Treatment of Giant Main Coronary Artery Fistula Connecting to Right Atrium

Coronary artery fistulas are rare; they are defined as congenital or acquired coronary artery abnormalities in which blood is shunted into a cardiac chamber, great vessel, or other structure, bypassing the myocardial capillary network. We report here on a case of successful surgical treatment of a giant left main coronary artery fistula in a 29-year-old man who presented to our institution with exertional dyspnea. In this report, the different methods of management are also discussed and the indications for the surgical technique are briefly outlined.

A Rare Combination of Left Main Coronary Artery Fistula to Main Pulmonary Artery with Severe Left Main Coronary Artery Disease in a 69-Year-Old Man

A 69-year-old man was referred to our hospital with a diagnosis of non-ST elevation myocardial infarction. A selective left coronary angiography revealed a fistula connecting the left main coronary artery with the pulmonary artery in addition to severe left main coronary artery disease. The patient subsequently underwent ligation of fistulae and coronary bypass grafting. The combination of a fistula and severe artery disease seen in this patient is unusual because fistulas originating from the left main coronary artery drain into the pulmonary artery in patients with severe left main coronary artery disease.

Giant congenital left main coronary artery fistula to the superior vena cava in an adult patient with coronary artery disease

Giant congenital left main coronary artery fistula to the superior vena cava in an adult patient with coronary artery disease