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Surgical Treatment of Coronary Artery Fistula

Department of Cardiac Surgery The First Clinical College China Medical University Shenyang, Liaoning, People's Republic of China

For reprint information contact: Gu Chun Jiu, MD Tel: 86 24 2386 3731 Ext. 6260 Fax: 86 24 2386 2377 Department of Cardiac Surgery, The First Clinical College, China Medical University, 155 North Nanjing Street, Heping District, Shenyang, Liaoning Province 110001, People's Republic of China.

Six patients with coronary artery fistula were treated surgically between October 1977 and November 1998. The clinical manifestations, diagnostic criteria, indications for operation, and surgical techniques were evaluated. One patient died from ventricular fibrillation on the 2nd postoperative day. The outcome for the other 5 patients was good; symptoms and heart murmurs disappeared and all are alive and well after 10 to 21 years of follow-up. It was concluded that analysis of clinical data can confirm the diagnosis and this condition can be treated satisfactorily by suitable surgery.