Case Report

Surgical Management of a Coronary Arteriovenous Fistula Between Diagonal Coronary Artery to Pulmonary Artery: A Case Report

  • Şenol GÜLMEN
  • İlker KIRIS
  • Hüseyin OKUTAN

Received Date: 13.12.2009 Accepted Date: 15.04.2010 Meandros Med Dent J 2010;11(3):25-27

Coronary arteriovenous fistula is a rare anomaly with an incidence between 0.1- 0.2 %. This anomaly is defined as a direct connection between a coronary artery and one of the cardiac chambers, coronary sinus, superior vena cava, pulmonary artery or pulmonary veins without intervening with capillary system. The majority of arteriovenous fistulas arise from the right coronary artery or left anterior descending artery. These arteriovenous fistulas may be tortuous, aneurysmal and multiple. However, multiple fistulas occur in 10.7% to 16% of all coronary arteriovenous fistulas. In this case report, we present a patient who underwent closure of a coronary arteriovenous fistula between diagonal coronary artery and pulmonary artery concomitant with coronary artery bypass operation.

Keywords: Coronary arteriovenous fistula, pulmonary artery, surgery.