Bilateral coronary artery-pulmonary artery fistulas in a case with unstable angina pectoris [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2008; 36(2): 108-110

Bilateral coronary artery-pulmonary artery fistulas in a case with unstable angina pectoris

Alper Kepez, Ergün Barış Kaya, Ali Oto
Hacettepe University Faculty of Medicine Department of Cardiology, Ankara, Turkey

Bilateral coronary artery fistulas originating from both right and left coronary arteries are rare congenital abnormalities. A 58-year-old man presented with chest pain unrelated to exertion. Coronary angiography showed a fistula originating from the level of the first diagonal branch of the left anterior descending (LAD) coronary artery and a 95% stenosis just distal to the fistula. Right coronary angiography showed another fistula originating from the ostium of the right coronary artery. Both fistulas drained into the pulmonary artery. Coronary bypass surgery was performed for the LAD lesion using the left internal mammary artery graft, during which both fistulas were ligated. No complications were encountered postoperatively.

Keywords: Arterio-arterial fistula/complications, coronary artery disease, coronary vessel anomalies/surgery, pulmonary artery/abnormalities.

How to cite this article
Alper Kepez, Ergün Barış Kaya, Ali Oto. Bilateral coronary artery-pulmonary artery fistulas in a case with unstable angina pectoris. Turk Kardiyol Dern Ars. 2008; 36(2): 108-110

Corresponding Author: Ali Oto, Türkiye
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