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Ann Card Anaesth. 2019 Oct-Dec;22(4):442-443. doi: 10.4103/aca.ACA_99_18.

Perioperative implications of Coronary-cameral fistula.

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Department of Cardiac Anaesthesiology, Artemis Hospitals, Gurgaon, Haryana, India.
Department of Cardiac Surgery, Artemis Hospitals, Gurgaon, Haryana, India.


Coronary-cameral fistulas (CCFs) are mostly congenital in origin and rarely acquired. Clinical symptoms are decided by the hemodynamic significance of the coronary fistula. Even in asymptomatic patients, it is essential to know about coronary CCF particularly if the patient is to undergo cardiac surgery with cardioplegic cardiac arrest. Incidental finding of coronary CCF should never be ignored. Intraoperative myocardial protection and methods used are significantly influenced by such fistula.


Coronary fistula; coronary steal phenomenon; myocardial protection

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