Surgical management of 56 patients with congenital coronary artery fistulas.

@article{UrrutiaS1983SurgicalMO,
  title={Surgical management of 56 patients with congenital coronary artery fistulas.},
  author={C O Urrutia-S and Giorgio Falaschi and David A. Ott and Denton A. Cooley},
  journal={The Annals of thoracic surgery},
  year={1983},
  volume={35 3},
  pages={300-7}
}
Over a 25-year period, 58 patients underwent evaluation or surgical treatment of coronary artery fistulas, or both, at our institution. Twenty-one patients had major associated cardiac defects, either congenital or acquired, and 9 had multiple fistulas. Fistulas to the left heart were unusual. Exertional angina and dyspnea were the most common presenting symptoms, but most young patients were asymptomatic. Seventy percent had audible heart murmurs. No operative deaths occurred in patients with… CONTINUE READING