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. 1981 Sep;8(3):355–363.

Congenital coronary artery-left heart fistulas: Report of three cases

A Thomas Pezzella 1, Giorgio Falaschi 1, David A Ott 1, Denton A Cooley 1
PMCID: PMC287954  PMID: 15216192

Abstract

Of 59 patients who underwent operative correction of congenital coronary artery fistulas from May 1956 through May 1980 at our institution, three had fistulas that arose from the coronary artery and terminated in the left heart.

The chief indication for surgical correction in such patients is the presence of symptoms or the development of complications, which include rupture, endocarditis, and congestive heart failure. The principal objective of repair is closure or obliteration of the fistulous communication and preservation of distal myocardial perfusion. Because symptoms and complications tend to occur with age, elective ligation is warranted during childhood, even in asymptomatic patients. The three cases described here, as well as the reviewed series of left heart fistulas, substantiate this fact.

All three patients were symptomatic before operation and asymptomatic afterward.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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