Surgical treatment of XXXX : 27 years' experience and a review of the literature.

@entity154 @entity453 @entity1
BACKGROUND AND AIM OF THE STUDY: A @entity453 ( @entity453 ) is a relatively rare @entity154 and is defined as an abnormal direct communication between any coronary artery and any of the cardiac chambers. This article reviews our experience over the past 27 years, as well as other literature, and discusses the surgical indications and methods relating to @entity453 . METHODS: From 1973, 25 @entity1 aged from 2 to 69 years underwent surgical treatment for congenital @entity453 . Seventeen @entity1 were diagnosed as isolated @entity453 . All @entity1 under 19 years of age with isolated @entity453 were asymptomatic. Twenty fistulas originated from the left coronary artery and 9 from the right. The pulmonary artery was the most dominant drainage site. Four @entity1 among the isolated @entity453 cases were surgically treated without a cardiopulmonary bypass. RESULTS: All @entity1 were discharged from hospital without any perioperative complications. Postoperative coronary angiography was done on all @entity1 with only one slightly residual @entity453 flow. The average follow-up time was 9.6 years and all @entity1 were asymptomatic and doing well. CONCLUSIONS: Definitive surgical correction is safe and effective, with good results. Therefore, it should be considered even in asymptomatic @entity1 because of the risk of future complications.
