Hybrid Approach to Closure of an Acquired Coronary-Cameral Fistula

作者：Manoly Imthiaz^*; Mahadevan Vaikom S; Hoschtitzky J Andreas

来源：Annals of Thoracic Surgery, 2014, 98(3): E59-E61.

DOI：10.1016/j.athoracsur.2014.05.094

Coronary-cameral fistula is an abnormal fistulous communication between a coronary artery and a cardiac chamber. Significant fistulae require closure either percutaneously or surgically to avoid any complications. We describe the case of a 19-year-old male patient with tetralogy of Fallot, who presented with a complex coronary-cameral fistula, which precluded percutaneous occlusion. By means of a hybrid approach, the fistula was easily located and closed surgically. Where surgical correction of such fistulae is warranted in the setting of other cardiac defects, a hybrid approach to isolate the fistula followed by surgical intervention will reduce operative time, thereby potentially lowering perioperative complications.

• 出版日期2014-9