Surgical treatment of isolated fistulae of coronary arteries
نویسندگان
چکیده
Objective: To report the surgical results obtained with the surgical correction of fistulae of coronary arteries in the pulmonary artery branch. Method: From 1995 to 1999, three female patients with diagnoses of isolated fistulae of coronary arteries confirmed by cinecoronariography underwent surgery. Results: No other associated heart diseases were observed in the patients. The main symptom of all patients was angina pectoris. After closing the coronary fistulae the patients progressed with event-free post-operative periods and with total recovery from the angina. Conclusion: Surgical treatment should be considered for all patients diagnosed as having isolated fistulae, due to the low morbid-mortality rate in addition to the technical simplicity of closing and performing the ligature of fistulae. Descriptors: Arterio-arterial fistula, surgery. Arterioarterial fistula, congenital. Coronary circulation. Pulmonary artery, surgery CASE REPORT Resumo Objetivo: Relatar o tratamento cirúrgico das fístulas isoladas de artérias coronárias para o tronco da artéria pulmonar. Método: No período de 1995 a 1999, três pacientes do sexo feminino com diagnóstico de fístulas isoladas de artérias coronárias, confirmado pela cinecoronariografia, foram tratadas através da abordagem cirúrgica. Resultados: Os pacientes estudados não apresentavam outras doenças cardíacas associadas. O quadro clínico predominante era de angina pectoris em todos os pacientes. Após o fechamento dos óstios coronários e ligadura das fístulas, com evolução pós-operatória sem intercorrências, os pacientes evoluíram clinicamente assintomáticos, com desaparecimento total do quadro anginoso. Conclusão: A correção cirúrgica deve ser proposta para os casos diagnosticados de fístulas isoladas de artérias coronárias para evitar complicações importantes, considerando-se a baixa morbi-mortalidade hospitalar e a facilidade técnica para o fechamento e ligadura das fístulas. Descritores: Fístula artério-arterial, cirurgia. Fístula artério-arterial, congênito. Circulação coronária. Artéria pulmonar, cirurgia
منابع مشابه
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