Author/Authors :
Ibrahim, Mohamed F. King Fahad Medical City - Prince Salman Heart Center - Cardiac Surgery Department, Saudi Arabia , Sayed, Sameh King Fahad Medical City - Prince Salman Heart Center - Cardiac Surgery Department, Saudi Arabia , Elasfar, Abdelfatah King Fahad Medical City - Prince Salman Heart Center - Adult Cardiology Department, Saudi Arabia , Sallam, Ayman King Fahad Medical City - Prince Salman Heart Center - Cardiac Surgery Department, Saudi Arabia , Fadl, Mazin King Fahad Medical City - Prince Salman Heart Center - Cardiac Surgery Department, Saudi Arabia , Al Baradai, Abdulaziz King Fahad Medical City - Prince Salman Heart Center - Cardiac Surgery Department, Saudi Arabia
Abstract :
Coronary artery fistulae are rare congenital or acquired connections between the coronary vessels and the cardiac chambers or other vascular structures. We present two consecutive cases of coronary fistulae between the proximal left anterior descending artery (LAD) and the main pulmonary artery. Both cases where admitted with history of acute coronary syndromes and had multivessel coronary disease along with coronary pulmonary fistulae. The two cases were managed by coronary artery bypass grafting (CABG) and repair of the fistulae.