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Ann Thorac Surg 2004;77:1081-1083
© 2004 The Society of Thoracic Surgeons

Case report

Left main coronary artery-to-pulmonary artery fistula with severe aneurysmal dilatation

Kimberly L. Gandy, MD, PhDa*, Abdallah G. Rebeiz, MDb, Andrew Wang, MDb, James J. Jaggers, MDa

a Division of Cardiovascular Surgery, Duke University Medical Center, Durham, NC, USA
b Division of Cardiology, Duke University Medical Center, Durham, North Carolina, USA

Accepted for publication May 2, 2003.

* Address reprint requests to Dr Gandy, Department of Cardiothoracic Surgery, Falk Cardiovascular Research Center, 300 Pasteur Drive, Stanford, CA 94305-5406; , USA
e-mail: gandy001{at}mc.duke.edu

Coronary artery fistulas (CAF) are rare abnormalities that can be symptomatic or asymptomatic. Most drain into the right ventricle or pulmonary artery, though a variety of other drainage sites have been reported. We report the results of the surgical closure of a symptomatic left coronary-to-pulmonary artery fistula associated with a giant 10-cm aneurysm and discuss the management of coronary artery fistulas.




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