Coronary Artery Aneurysm and Coronary Fistula in Tetrology of Fallot: A Case Presentation of A Young Adult Undergoing Total Correction

Abstract

Congenital presentation of a coronary artery fistula is a rarely observed pathologic finding; especially an association with tetralogy of Fallot is reported in only three cases previously. This is a presentation of a patient with tetralogy of Fallot who had an aneurysmatic fistula communication between the circumflex artery and left ventricle. Preoperative computerized tomography angiographic examination showed a communication between the circumflex artery and left ventricle. 27-year-old female patient underwent an operation for total correction. Intraoperatively, the fistula could not be seen and it had been left unligated. The patient had been discharged from hospital without problems on the tenth postoperative day. Aneurysmatic coronary artery fistula is not found to cause a deleterious effect on the hemodynamics or myocardial performance of the heart after the total correction surgery