Coronary artery fistulae in Jeddah

ABSTRACT

During a nine-year period, three patients underwent surgical treatment for congenital coronary arteriovenous fistulae. In two patients, the right coronary artery [RCA] was draining into the right atrium. In the third patient, the left coronary artery drained into the right atrium. Distal filling of the coronary arteries involved was good as seen in the cineangiography. There was no associated aortic or pulmonary valve disorders in the three patients. The fistulous openings were oversewn from within the right atrium [the recipient chamber] using cardiopulmonary bypass. Preservation of the coronary artery continuity and distal myocardial perfusion was achieved