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Six patients with congenital coronary artery fistula underwent successful corrective surgery. Precise diagnosis was established either by retrograde aortography or more recently by selective arteriography. The left coronary artery was involved in four and the right in two cases. The fistula communicated with the right ventricle in three and the right atrium in three subjects. The operative approach is dictated by the site of entry of the vessel into the cardiac chamber. The use of cardiopulmonary bypass for intracardiac repair allows accurate closure of the fistula thereby reducing the chances of recurrence. A follow-up of one to seven years showed that all patients are asymptomatic and leading normal lives.
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
December 1971,
Surgery,
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
May 1988,
Kyobu geka. The Japanese journal of thoracic surgery,
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
January 1979,
Kyobu geka. The Japanese journal of thoracic surgery,
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
August 1976,
The Australian and New Zealand journal of surgery,
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
November 1971,
The Annals of thoracic surgery,
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
June 1985,
Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association,
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
October 1989,
Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association,
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
May 1992,
Zhonghua wai ke za zhi [Chinese journal of surgery],
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
November 1989,
Chinese medical journal,
S John, and
W J Perianayagam, and
S Muralidharan, and
V Nandakumar, and
R Mansfield, and
S Krishnaswamy, and
I P Sukumar, and
G Cherian
December 1994,
Coronary artery disease,
