Coronary Artery Aneurysm and Coronary Fistula in Tetrology of Fallot: A Case Presentation of A Young Adult Undergoing Total Correction

Fallot Tetrolojisinde Koroner Arter Anevrizmas ve Koroner Fistul: Tam Düzeltme Yaplan Genç Eriflkin Bir Vaka Sunumu

Ali Fedakar,Ahmet Şaşmazel,Onursal Bugra,Kamil Boyaco¤lu,Ayfle Baysal,Ayfle İnci,Mehmet Balkanay

Abstract

Congenital presentation of a coronary artery fistula is a rarely observed pathologic finding; especially an association with tetralogy of Fallot is reported in only three cases previously. This is a presentation of a patient with tetralogy of Fallot who had an aneurysmatic fistula communication between the circumflex artery and left ventricle. Preoperative computerized tomography angiographic examination showed a communication between the circumflex artery and left ventricle. 27-year-old female patient underwent an operation for total correction. Intraoperatively, the fistula could not be seen and it had been left unligated. The patient had been discharged from hospital without problems on the tenth postoperative day. Aneurysmatic coronary artery fistula is not found to cause a deleterious effect on the hemodynamics or myocardial performance of the heart after the total correction surgery

Özet

Konjenital koroner arter fistülü oldukça nadir gözlenen bir patolojik bulgudur. Özellikle Fallot tetralojisi ile birlikteli¤ i ise daha önce sadece üç vaka olarak rapor edilmifltir. Bu yazmzda sircumflex arter ile sol ventrikül arasnda fistül bulunan fallot tetrolojili bir hastann sunumu yaplmaktadr. Ameliyat öncesi bilgisayarl tomografik anjiografide sol ventrikül ile sircumflex arter arasnda anevrizmatik fistül iliflkisi gözlemlendi. 27 yaflndaki bayan hasta tam düzeltme ameliyatna alnd. Operasyonda fistül bulunamad ve ba¤lanmadan brakld. Problemi olmayan hasta, ameliyat sonras onuncu günde taburcu edildi. Anevrizmatik koroner arter fistülün tam düzeltme ameliyat sonras nda miyokardiyal performansda ve hemodinamide bozulma yaratan bir etkisi gözlemlenmedi.