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Karthik Ramakrishnan Vaidyanathan
Sanjay A.C. Theodore
Madhu Nainar Sankar
Kotturathu Mammen Cherian
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Eur J Cardiothorac Surg 2007;31:318-319. doi:10.1016/j.ejcts.2006.11.018
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved


Case report

Coronary artery to pulmonary artery fistula with dual origin — embryological, clinical and surgical significance

Karthik Ramakrishnan Vaidyanathan*, Sanjay A.C. Theodore, Madhu Nainar Sankar, Kotturathu Mammen Cherian

Department of Cardiac Surgery, International Center for CardioThoracic and Vascular Diseases, R-30-C Ambattur Industrial Estate Road Mogappair, Chennai 600101, India

Received 15 September 2006; received in revised form 30 October 2006; accepted 14 November 2006.

* Corresponding author. Address: International Center for CardioThoracic and Vascular Diseases, R-30-C Ambattur Industrial Estate Road, Mogappair, Chennai 600101, India. Tel.: +91 44 8443047; fax: +91 26565150. (Email: rkvdoc{at}rediffmail.com).

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.

Key Words: Embryology • Fistula • Congenital • Heart disease







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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.