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Year :2018
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Month :
January-February
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Volume :
7
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Issue :
1
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Page :
AC08 - AC10
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Congenital Bilateral Coronary Arteriovenous Fistula- A Case Report
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Correspondence Address :
SP Thangaraj, N Charanya, Vishali Nagarajan,
Dr. Charanya N,
Assistant Professor, Department of Anatomy,
Ponnaiyah Ramajayam Institute of Medical Sciences,
ECR, Manamai-Nallur, Chennai-603102,
Tamil Nadu, India.
E-mail: charany.md@gmail.com
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Introduction: Coronary Artery Fistula (CAF) is an abnormal communication between the coronary artery and one of the chambers of the heart or any vessel close to the heart. We hereby, describe the possible anomalous connection between coronary arteries and the right atrium and coronary sinus of the heart in a 52 years old male which has been found through coronary angiogram. It is a very rare anomaly as the fistulous communication drains both into the right atrial chamber and also into the coronary sinus and as a result Coronary Arteriovenous Fistula (CAVF)was established. The origin of fistula is usually unilateral involving only one coronary artery either right or left. It is a very rare anomaly as the fistula is bilateral involving both the right and left coronary systems. The anatomy and morphological features of the fistula is very important in deciding the treatment method of CAF. It has been studied that physiology of CAF mimics various heart lesions. In this case where this fistulae that drains into right atrium and coronary sinus (systemic vein) mimics the physiology of an atrial septal defect.
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