Three Cases of Aneurysmatic Coronary Fistulas Associated With Mitral Valve Insufficiency

Luca Sandrelli; Giuseppe Petrone; Giancarlo Sportelli; Mario Fabbrocini

doi:10.1016/j.athoracsur.2017.01.030

Three Cases of Aneurysmatic Coronary Fistulas Associated With Mitral Valve Insufficiency

Ann Thorac Surg. 2017 Jun;103(6):e505-e507. doi: 10.1016/j.athoracsur.2017.01.030.

Authors

Luca Sandrelli¹, Giuseppe Petrone², Giancarlo Sportelli², Mario Fabbrocini²

Affiliations

¹ Cardiovascular Department, Centro Cuore, Policlinico di Monza, Alessandria, Italy. Electronic address: [email protected].
² Cardiovascular Department, Centro Cuore, Policlinico di Monza, Alessandria, Italy.

PMID: 28528052
DOI: 10.1016/j.athoracsur.2017.01.030

Abstract

We report three cases of coronary fistula aneurysm associated with mitral valve insufficiency. The patients were referred to our cardiovascular department because of exertional dyspnea. Echocardiography showed severe mitral valve insufficiency resulting from leaflet flail or prolapse and normal left ventricular function. In all three cases, preoperative coronary angiography showed coronary-to-pulmonary artery fistula associated with significant aneurysm of the fistulous tract. All patients underwent uneventful mitral valve repair and external ligation of the fistulas.

Publication types

Case Reports

MeSH terms

Coronary Angiography
Coronary Vessels*
Humans
Male
Middle Aged
Mitral Valve Insufficiency / diagnostic imaging
Mitral Valve Insufficiency / etiology*
Pulmonary Artery*
Vascular Fistula / complications*
Vascular Fistula / diagnostic imaging