Iatrogenic Coronary Artery Fistula
in a Patient with a Single Coronary
Artery

Abstract

Here, we report on a case of coronary artery fistula that developed following the repair of a double-outlet right ventricle (DORV) with infundibular pulmonary stenosis in a patient who has a single coronary artery. The major concern in this case was that of reduction of coronary blood flow from the patient's only coronary artery to the myocardium distal to the fistula.

Coronary artery fistula - Double-outlet right ventricle - Single coronary artery

References

• 1 Friesen C H, Hewlett J G, Ross D B. Traumatic coronary artery fistula management.  Ann Thorac Surg Review. 2000;  69 (6) 1973-1982
• 2 Ramsheyi S A, Nataf P, Jault F, Pavie A, Gandjabakhch I. Iatrogenic left coronaro-atrial fistula after mitral valve replacement: apropos a case.  Arch Mal Coeur Vaiss. 1995;  88 (12) 1897-1899
• 3 Calkins JB Jr, Tallev J D, Kim N H. Iatrogenic aorto-coronary venous fistula as a complication of coronary artery bypass surgery: patient report and review of literature.  Cathet Cardiovasc Diagn. 1996;  37 (1) 55-59
• 4 Mavroudis C, Backer C L, Rocchini A P, Muster A J, Gevitz M. Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization.  Ann Thorac Surg. 1997;  63 (5) 1235-1242
• 5 Cheung D L, Au W K, Cheung H H, Chiu C S, Lee W T. Coronary artery fistulas: long-term results of surgical correction.  Ann Thorac Surg. 2001;  71 (1) 190-195
• 6 Perry S B, Rome J, Keane J F, Baim D S, Lock J E. Transcatheter closure of coronary artery fistulas.  J Am Coll Cardiol. 1992;  20 205-209
• 7 McMahon C J, Nihill M R, Kovalchin J P, Mullins C E, Grifka R G. Coronary artery fistula. Management and intermediate-term outcome after transcatheter coil occlusion.  Tex Heart Inst J. 2001;  28 (I) 21-25
• 8 Yang Y, Li Z, Wang X. Assessment of Coronary Artery Fistula by Color Doppler Echocardiography.  Echocardiography. 1998;  15 (1) 67-72

Correspondence