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Surgical repair of an aneurysm-like fistula connecting the left main coronary artery with the right atrium

  • Guang Tong (a1), Zhongchan Sun (a2) and Weida Zhang (a1)

Abstract

Coronary fistula is defined as an anomalous connection between a coronary artery and any of the four chambers of the heart or any of its great vessels. A coronary fistula connecting the left main coronary artery to the right atrium is the most uncommon. In the present study, we report the surgical management of a very uncommon case of an aneurysm-like fistula connecting the left main coronary artery to the right atrium in a 2-year-old boy.

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Corresponding author

Correspondence to: W. Zhang, Department of Cardiovascular Surgery, Guangzhou General Hospital of Guangzhou Military Command, Liuhua Road #111, Guangzhou, Guangdong Province, China. Tel:+86 020 8865 4578; Fax:+86 020 3665 5908; E-mail: weidazhang1958@gmail.com

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Guang Tong and Zhongchan Sun contribute equally to this report.

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References

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1. Brussee, H, Gasser, R. Fistula connecting the left main coronary artery with the right atrium in a marathon runner. N Engl J Med 2002; 346: 904.
2. Sercelik, A, Mavi, A, Ayalp, R, et al. Congenital coronary artery fistulas in Turkish patients undergoing diagnostic cardiac angiography. Int J Clin Pract 2003; 57: 280283.
3. Angelini, P. Coronary artery anomalies – current clinical issues: definitions, classification, incidence, clinical relevance, and treatment guidelines. Tex Heart Inst J 2002; 29: 271278.
4. Wisniewska-Szmyt, J, Swiatkiewicz, I, Chojnicki, M, et al. Percutaneous closure of the coronary artery fistula connecting left main coronary artery and the right atrium in a 61 year-old woman. Kardiol Pol 2011; 69: 734737.

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