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January 1, 1989Japanese Heart JournalOpen Access

Congenital coronary artery fistulas diagnostic and surgical considerations.

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Why the study?

Does surgical repair improve outcomes and prevent complications in patients with congenital coronary artery fistulas?

Population

9 patients with congenital coronary artery fistulas, ranging in age from 6 to 50 years, 4 female and 5 male…

Design

Case_series

Follow-up

mean 5.4 +/- 5.2 years

Authors

HKHaldun KaragözAmerikan HastanesiYZYaman ZorlutunaState University of New YorkKBKorhan BabacanTürkiye Yüksek İhtisas Hastanesi

Discussion

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Implication

Indicates low perioperative risk with durable relief; leaves open the need for comparative trials before changing practice.

Structured PICO

Does surgical repair improve outcomes and prevent complications in patients with congenital coronary artery fistulas?

P
Population
9 patients with congenital coronary artery fistulas, ranging in age from 6 to 50 years (mean 28.2 +/- 18.9), 4 female and 5 male. 7 were symptomatic (congestive heart failure and/or angina) and 2 were asymptomatic.
I
Intervention
Surgical repair of coronary artery fistulas (ligation without cardiopulmonary bypass in 2 cases, closure with cardiopulmonary bypass in 7 cases)
O
Outcome
Operative mortality and long-term clinical outcomes (symptom status)hard clinical

Surgical repair of congenital coronary artery fistulas is safe, with no operative mortality and excellent long-term symptomatic relief.

Cite This Study

Karagöz et al. (1989) studied this question.

synapsesocial.com/papers/6a701c67f44fa9f079dda519https://doi.org/10.1536/ihj.30.685
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Coronary artery fistula: report of three cases.1975 · 5 citations
  2. 2Fistulous communication of aortic sinuses into the cardiac chambers. Fifteen years surgical experience and a report of 23 patients.1986 · 12 citations