RESUMO
Coronary artery fistulae are rare congenital or acquired connections between the coronary vessels and the cardiac chambers or other vascular structures. We present two consecutive cases of coronary fistulae between the proximal left anterior descending artery [LAD] and the main pulmonary artery. Both cases where admitted with history of acute coronary syndromes and had multivessel coronary disease along with coronary pulmonary fistulae. The two cases were managed by coronary artery bypass grafting [CABG] and repair of the fistulae.
RESUMO
Patients having recurrent and/or persisent OME should have their nasopharynx examined for any adenoid hypertrophy or remnant even in those cases which had had previous conventional adenoid surgery. The superolateral aspect of the nasopharynx should be especially and specifically examined under direct endoscopic visualization. Endoscopic visualization and removal of that adenoid is recommended to break the visious cycle of recurrent or persistent OME. The procedure proved to be safe, reliable and accurate. Plain X-ray was shown to be of limited value where the lateral lymphoid tissue predominates while the endoscope proved to be value in diagnosis and management. Tube extrusion and reversal of the cycle was noted with normal tympanic membrane in 84% of our cases