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Congenital Coronary Artery FistulaIndications for Operative Treatment
WILLIAM A. REED, MD;
C. FREDERICK KITTLE, MD
AMA Arch Surg. 1966;93(5):772-775.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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CORONARY artery fistulas as used in this presentation refer to communications between the coronary arteries and a low pressure cardiac chamber or pulmonary artery. Such lesions are not uncommon and diagnostic methods permit precise diagnosis. However, further consideration is needed regarding their proper management. The purposes of this paper are to describe briefly five patients with coronary artery fistulas and our treatment of them.
The cases are summarized in the Table. In view of the types of pathologic conditions found, additional comment is given for each.
Report of Cases
CASE 1.
—This 3 -year-old patient presented with an atypical ductus murmur, a continuous murmur along the left and right lower sternal border. There was evidence of left ventricular hypertrophy on the electrocardiogram and vectorcardiogram. Cardiac catheterization was done which revealed normal pressures with a small (less than one vol%) left to right shunt at the atrial level. The coronary fistula was
. . . [Full Text PDF of this Article]
Author Affiliations
KANSAS CITY, KAN
From the Department of Surgery, University of Kansas School of Medicine and Medical Center, Kansas City.
Footnotes
Read before the 14th Scientific Meeting of the North American Chapter of the International Cardiovascular Society, Chicago, June 25, 1966.
Reprint requests to University of Kansas Medical Center, Rainbow Blvd at 39th St, Kansas City, Kan 66103 (Dr. Reed).
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