Senol GÜLMEN, Ilker KIRIS, Hüseyin OKUTAN

DİAGONAL KORONER ARTER İLE PULMONER ARTER ARASINDAKİ KORONER ARTERİOVENÖZ FİSTÜLÜN CERRAHİ TEDAVİSİ: OLGU SUNUMU

Koroner arteriovenöz fistül %0.1-0.2 insidans ile nadir bir anomalidir. Bu anomali bir koroner arter ile kardiyakboşluklardan biri, koroner sinüs, süperior vena kava, pulmoner arter ya da pulmoner venler arasında kapillersistemi olmayan direkt bağlantılar olarak tanımlanır. Arteriovenöz fistüllerin birçoğu sağ koroner arter ya da solön inen koroner arterden köken alır. Bu arteriovenöz fistüller kıvrıntılı, anevrizmatik yapıda ve birden fazlasayıda olabilir. Bununla birlikte, birden fazla olan fistüller tüm koroner arteriovenöz fistüllerin %10.7-16' sınıoluşturur. Bu olgu sunumunda, koroner arter bypass operasyonu ile eş zamanlı diagonal arter - pulmoner arterarasında koroner arteriovenöz fistül kapatma operasyonu uygulanan bir olguyu sunuyoruz

Anahtar Kelimeler:

Koroner arteriovenöz fistül, pulmoner arter, cerrahi

Surgical Management of a Coronary Arteriovenous Fistula Between Diagonal Coronary Artery to Pulmonary Artery: A Case Report

Coronary arteriovenous fistula is a rare anomaly with an incidence between 0.1- 0.2 %. This anomaly is defined as a direct connection between a coronary artery and one of the cardiac chambers, coronary sinus, superior vena cava, pulmonary artery or pulmonary veins without intervening with capillary system. The majority of arteriovenous fistulas arise from the right coronary artery or left anterior descending artery. These arteriovenous fistulas may be tortuous, aneurysmal and multiple. However, multiple fistulas occur in 10.7% to 16% of all coronary arteriovenous fistulas. In this case report, we present a patient who underwent closure of a coronary arteriovenous fistula between diagonal coronary artery and pulmonary artery concomitant with coronary artery bypass operation.

Keywords:

Coronary arteriovenous fistula, pulmonary artery, surgery,

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