This case report demonstrates the successful surgical management of a rare bilateral coronary artery to pulmonary artery fistula discovered incidentally during evaluation for mitral valve disease.
Demonstrates surgical feasibility in rare bilateral fistulae; leaves open optimal indications and outcomes.
Coronary artery fistulae are rare anomalies encountered in 0.1-0.2% of angiographic series. We recently encountered a patient evaluated for mitral valve disease who incidentally had bilateral coronary artery fistulae detected on preoperative angiogram. These fistulae drained into the pulmonary artery. She underwent successful transpulmonary closure of the fistula along with mitral valve repair. We discuss the embryological basis of this anomaly and the clinical as well as surgical significance.
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Vaidyanathan et al. (2006) studied this question.
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