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Ann Thorac Surg 2006;82:1106-1107
© 2006 The Society of Thoracic Surgeons

Case report

Sinoatrial Nodal Artery to Right Atrium Fistula After Myxoma Excision

Jason E. Roth, MD, MAJa,*, William C. Conner, MD, LTCb, Mary E. Porisch, MD, LTCc, Eric Shry, MD, MAJa

a Department of Cardiology, Brooke Army Medical Center, Fort Sam Houston
b Department of Cardiothoracic Surgery, Brooke Army Medical Center, Fort Sam Houston
c Division of Pediatric Cardiology, Wilford Hall Medical Center, Lackland Air Force Base, Texas

Accepted for publication January 3, 2006.

* Address correspondence to Dr Roth, 3851 Roger Brooke Dr, Cardiology Service, Brooke Army Medical Center, Fort Sam Houston, TX 78234 (Email: jason.roth{at}amedd.army.mil).

Acquired coronary artery to cardiac chamber fistulas are rare. Angiographically detectable neovascularization associated with a cardiac myxoma occurs frequently. These vessels are incorporated into the atrial suture line during surgical excision. We describe the case of a patient with a symptomatic right coronary artery to right atrial fistula that had occurred 4 years after left atrial myxoma resection. These large vessels should be considered for ligation during the myxoma resection.




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