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European Heart Journal 1994 15(4):571-574;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Bicoronary-pulmonary fistulae with coexistent mitral valve prolapse: a case report and literature review of coronary-pulmonary fistula

S. S. ASHRAF, N. SHAUKAT*, M. FISHER*, B. CLARKE and D. J. KEENAN

*Department of Cardiothoracic Surgery and Cardiology, Manchester Royal Infirmary Manchester, U.K.

Received 7 June 1993; revised 9 November 1993; .

Correspondence: Mr S. S. Ashraf, Department of Cardiothoracic Surgery, Manchester Royal Infirmary, Manchester M13 9WL, U.K.

Abstract

Bicoronary-pulmonary artery fistulae are rare congenital coronary artery fistulae. We report the case of a 57-year-old man who presented with biventricular failure and angina pectoris. At angiography the coronary arteries were normal, but bicoronary-pulmonary fistulae were noted; severe mitral regurgitation secondary to mitral valve prolapse was also present. At right heart catheterization the calculated left to right shunt was 2.1. Fistula ligation and repair of both mitral and tricuspid valves was undertaken. The literature regarding coronary-pulmonary fistula is also reviewed.

Key Words: Bicoronary-pulmonary artery fistulae • angina • mitral valve prolapse


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