Complete closure of coronary fistula communicating with the descending aorta. (October 2021)

• Record Type: Journal Article
• Authors: Kosiorowska, Monika; Lehmkuhl, Lukas; Urbanski, Paul P
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 29:Number 8(2021)
• Page Start: 801
• Page End: 803
• Publication Date: 2021-10
• Subjects: Aorta -- thoracic -- arteriovenous fistula -- computed tomography angiography -- coronary vessel anomalies; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492320981505
• Languages: English
• ISSNs: 0218-4923

Abstract

We report a rare case of complex coronary fistula that contained two aneurysms and was connected to the descending aorta. The fistula was also associated with further aortic pathologies necessitating surgery. Preoperative computed tomography angiography, which revealed an abnormal vessel communication, was crucial for choosing the appropriate operative strategy. During a one-stage procedure comprising closure of both arterial (aortic and coronary) fistula origins and repair of the aortic valve and thoracic aorta, the coronary origin of the fistula was ligated and the frozen elephant trunk technique was used to close the aortic origin.