Abstract

PORTO, Jorge Alberto Monteiro; DIAS, José Pedro Esteves  and  CREVELARI, Elizabeth Sartori. Surgical treatment of isolated fistulae of coronary arteries. Rev Bras Cir Cardiovasc [online]. 2003, vol.18, n.1, pp. 68-72. ISSN 0102-7638.  http://dx.doi.org/10.1590/S0102-76382003000100014.

OBJECTIVE:To report the surgical results obtained with the surgical correction of fistulae of coronary arteries in the pulmonary artery branch. METHOD: From 1995 to 1999, three female patients with diagnoses of isolated fistulae of coronary arteries confirmed by cinecoronariography underwent surgery. RESULTS: No other associated heart diseases were observed in the patients. The main symptom of all patients was angina pectoris. After closing the coronary fistulae the patients progressed with event-free post-operative periods and with total recovery from the angina. CONCLUSION: Surgical treatment should be considered for all patients diagnosed as having isolated fistulae, due to the low morbid-mortality rate in addition to the technical simplicity of closing and performing the ligature of fistulae.

Keywords : Arterio-arterial fistula [surgery]; Arterio-arterial fistula [congenital]; Coronary circulation; Pulmonary artery [surgery].