Surgery for Aneurysmal Coronary Artery Fistulas to the Coronary Sinus in Adults: A Case Series

Gabriele M Iacona; Shrey Patel; Faisal G Bakaeen; Hiba Ghandour; Robert D Stewart; Lars G Svensson; Gösta B Pettersson; Douglas R Johnston

doi:10.1016/j.jaccas.2022.10.004

Surgery for Aneurysmal Coronary Artery Fistulas to the Coronary Sinus in Adults: A Case Series

JACC Case Rep. 2022 Nov 23;4(24):101665. doi: 10.1016/j.jaccas.2022.10.004. eCollection 2022 Dec 21.

Authors

Gabriele M Iacona¹, Shrey Patel¹, Faisal G Bakaeen¹, Hiba Ghandour¹, Robert D Stewart¹, Lars G Svensson¹, Gösta B Pettersson¹, Douglas R Johnston¹

Affiliation

¹ Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Abstract

Surgical treatment of aneurysmal distal congenital coronary artery fistulas depends on size and anatomy. From 2008 to 2021, we applied a new surgical technique in 7 adult patients: proximal and distal fistula closure, opening of aneurysmal artery, and revascularization of branches rising from the fistula under cardiopulmonary bypass and cardiac arrest. (Level of Difficulty: Intermediate.).

Keywords: CCAF, congenital coronary artery fistula; CS, coronary sinus; coronary artery bypass; coronary circulation; coronary vessel anomaly; myocardial ischemia; percutaneous coronary intervention; thrombosis.

Publication types

Case Reports