Anesthesia Management for a Patient with Coronary Artery Fistula and Huge Coronary Aneurysm Undergoing Off-Pump Surgery

CORONARY artery fistulas (CAFs) are abnormal communications between the coronary arteries and the cardiac chambers (coronary-cameral fistulas), coronary sinus, or vessels around the heart.1 The prevalence of CAFs in the general population is reportedly only 0.002%.2 CAFs may lead to coronary dilation or even aneurysmal malformation.3 The incidence of aneurysm in CAFs is reportedly only 14%.4 Surgical intervention is the primary treatment for CAFs with symptoms or complications. Surgical data about CAFs are limited owing to low incidence, and surgical techniques vary in different patients.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Report Source Type: research