Ligation of a Fistula Between Left Main Coronary Artery and both of the Pulmonary Artery And Right Ventricle - Case Report

The coronary artery fistula frequency among all coronary angiography patients is 0.1-0.2 %. Among them, the fistulisation of the coronary artery with the pulmonary artery and the right ventricle has been shown for 10-25 %. But the involvement of both the pulmonary artery and the right ventricle is a very seldom seen clinical antity (1, 2). Patients may complain about chest pain, syncope or signs of heart failure, while most of them can be asymptomatic. The main factors of the symptoms to become apparent are; the radius of the coronary artery and the pulmonary artery, the pulmonary artery pressure and other accompanied comorbid diseases (DM, hypertension, coronary artery disease). Our case report is about the ligation of such a fistula of a patient just complaining sometimes about chest pain, by a off-pump technique.