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Coronary Arteriovenous Fistulas

Serdar Çimen, MD, Mehmet Kaplan, MD, Hakan Gerçekolu, MD, Bülend Ketenci, MD, Batuhan Özay, MD, Fuat Bilgen, MD, M Murat Demirta, MD

Siyami Ersek Thoracic and Cardiovascular Surgery Center Istanbul, Turkey

For reprint information contact: Mehmet Kaplan, MD Tel: 90 216 455 7452 Fax: 90 216 337 9719 email: mehmetkaplan{at}superonline.com 67 Ada Kardelen 4-4, D:11 Ataehir, Istanbul 81120, Turkey.

Between 1988 and 1998, 7 patients with coronary arteriovenous fistulas were treated surgically. Indications for surgery were congestive heart failure and marked left-to-right shunt in association with ischemic heart disease. Long-term follow-up (mean, 99 ± 37 months) was complete and mainly uneventful. Coronary arterio-venous fistulas can be successfully managed by surgery and patients should be treated without delay because complications of an untreated fistula may increase the complexity of the operation.