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Eur J Cardiothorac Surg 2007;32:800. doi:10.1016/j.ejcts.2007.07.037
Copyright © 2007, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Giant coronary fistula persistent after embolization

Ruben Alvarez*, David Gomez, Raul Burgos, Juan Ugarte

Department of Cardiovascular and Thoracic Surgery, Irongate University Hospital, 4 San Martin de Porres Street, Madrid 28035, Spain

Received 24 February 2007; received in revised form 11 July 2007; accepted 30 July 2007.

* Corresponding author. Tel.: +34 91 344 50 00; fax: +34 91 373 05 35. (Email: ruacabo{at}hotmail.com).

Key Words: Coronary fistula • Commissure plication annuloplasty

A 56-year-old woman complaining of chest pain with a diagnosis of coronary fistula (Fig. 1 ) was referred to surgery. The right coronary artery ended just below the posterior leaflet of the tricuspid valve (Fig. 2 ). The foramen was closed by a polypropylene 3-0 suture and a commissure plication annuloplasty was performed on the posterior leaflet.


Figure 1
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  		Fig. 1. (A) A lateral coronary angiogram view showing right coronary artery ending at right ventricle. The coils were placed 7 years before to obstruct fistula without success. (B) Contrast material filling right ventricle. (C) A post-anterior coronary angiogram view showing right coronary artery.

 

Figure 2
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  		Fig. 2. (A) Right coronary artery. (B) The end of coronary fistula was just below posterior leaflet of tricuspid valve (white arrow).

 





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Right arrow Articles by Ugarte, J.
Related Collections
Right arrow Cardiac - other
Right arrow Congestive Heart Failure
Right arrow Coronary disease
Right arrow Extracorporeal circulation

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