Coronary artery fistula between pulmonary trunk and left descending coronary artery--description of two cases
Dytfeld, D.; Sarnowski, W.
Polski Merkuriusz Lekarski Organ Polskiego Towarzystwa Lekarskiego 13(73): 56-57
2002
ISSN/ISBN: 1426-9686 PMID: 12362509 Document Number: 548930
Fistulas connecting coronary arteries with trunk of pulmonary artery are the most common congenital defects of coronary arteries. Depending on the size of fistula they cause IHD symptoms of different intensification (Coronary Steal Phenomenon). The symptoms appear very often in advanced age. In this study two patients with coronary-pulmonary artery fistula accompanied by another heart defects (VSD or stenosis of aortic valve), but with no IHD-symptoms, are presented. To find possible coronary arteries malformations, it seems to be useful to perform the catheterization of coronary arteries in all patients, who are qualified for surgical procedure because of heart's disease. It also concerns younger patients with VSD (under 35) in whom coronarography is not a routine procedure.