Surgical Repair of Coronary Artery Fistula Combined With Coronary Artery Ectasia in Adults

J Card Surg. 2013 May;28(3):222-7. doi: 10.1111/jocs.12109.

Abstract

Objectives: Coronary artery fistula (CAF) is rare in patients undergoing coronary angiography. Coronary artery ectasia (CAE) is found in 1.2% to 4.9% of patients at autopsy or during angiographic studies. CAF combined with CAE is a extremely rare clinical condition. This study aimed to summarize a treatment strategy for this complex disorder.

Methods: Ten consecutive patients who underwent surgical repair of CAF combined with CAE between 2000 and 2012 are reported. The main outcome measure was death. Secondary outcome measures included surgical technique, the extracorporeal circulation time, intubation duration, the intensive care unit stay period and discharge period.

Results: The mean extracorporeal circulation period was 103.8 W 25.7 minutes. The mean intubation duration was 10.5 W 3.2 hours. The mean intensive care unit stay period was 2.0 W 0.8 days and the mean discharge period was 11.4 W 2.6 days two patients were lost to follow-up. The other eight patients were asymptomatic and there were no deaths during the follow-up period.

Conclusions: Surgical repair for CAF combined with CAE is effective with satisfactory results in adults.

MeSH terms

  • Adult
  • Aged
  • Coronary Angiography
  • Coronary Care Units
  • Coronary Vessel Anomalies / diagnosis
  • Coronary Vessel Anomalies / surgery*
  • Dilatation, Pathologic / diagnosis
  • Dilatation, Pathologic / diagnostic imaging
  • Dilatation, Pathologic / surgery
  • Echocardiography
  • Female
  • Follow-Up Studies
  • Humans
  • Imaging, Three-Dimensional
  • Length of Stay
  • Male
  • Middle Aged
  • Multidetector Computed Tomography
  • Postoperative Complications / diagnosis
  • Postoperative Complications / diagnostic imaging
  • Survival Rate
  • Young Adult