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Coronary artery fistula draining into pulmonary artery and optimal management: a review
  1. Radoslaw Adam Rippel1,2,
  2. Shyam Kolvekar1,2
  1. 1Department of Cardiothoracic Surgery, UCLH The Heart Hospital, London, UK
  2. 2UCL Division of Surgery and Interventional Science, University College London, London, UK
  1. Correspondence to Mr Shyam Kolvekar, Department of Cardiothoracic Surgery, UCLH The Heart Hospital, London NW3 2QG, UK; kolvekar{at}


Coronary artery fistula is a rare congenital malformation of high variability. The disease is illustrated with a description of a case example. The management of patients with coronary artery fistulas remains controversial. Both spontaneous regression and life threatening complications have been described. The fistula can be ligated or embolised; however, there are no long term outcome data regarding management. Intraoperative risk of myocardial infarction is less than 5% and death rate varies between 0% and 6%. Due to a small number of cases being described in the literature and a lack of evidence on optimal management, further research is needed in order to determine the best treatment options.

  • cardiac surgery
  • congenital heart disease
  • coronary artery disease

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