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Ann Thorac Surg 2001;72:1732-1733
© 2001 The Society of Thoracic Surgeons

Case report

Left circumflex coronary artery to left atrial fistula in a patient with mitral regurgitation after excision of a left atrial myxoma

Andrew C. Burns, FRCSa, Serge Osula, MRCPa, Alexander Harley, FRCPa, Abbas Rashid, FRCS*a

a Divisions of Cardiothoracic Surgery and Cardiology, The Cardiothoracic Centre-Liverpool NHS Trust, Liverpool, United Kingdom

Accepted for publication December 20, 2000.

* Address reprint requests to Mr Rashid, The Cardiothoracic Centre-Liverpool NHS Trust, Thomas Dr, Liverpool L14 3PE, United Kingdom
e-mail: a.rashid{at}ccl-tr.nwest.nhs.uk

Acquired coronary artery to left atrial fistulas are rare and previously only described in mitral stenosis associated with left atrial thrombus or coronary arteriosclerosis. We present the case of a patient who developed a left circumflex coronary artery to left atrial fistula associated with mitral regurgitation 12 years after excision of a left atrial myxoma. This was successfully ligated at the time of mitral valve replacement.




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