Fístulas das artérias coronárias têm incidência baixa entre as cardiopatias congênitas, muitas vezes assintomáticas, devendo ser suspeitadas quando há presença de sopro contínuo no precórdio. Podem apresentar sintomas de precordialgia ou insuficiência cardíaca e devem ser estudadas adequadamente para tratamento seguro, tanto cirúrgico como por cateterismo ou acompanhamento clínico. No presente trabalho são relatados três casos tratados por operação com resultado satisfatório e a literatura é revisada. Coronary arteries fistulas have low incidence on the congenital heart defects, many times they are assymptomatic, and have to be suspected when continuous cardiac murmur is present. The symptoms can be precordial pain or cardiac failure and they must be studied correctly to a save surgical management or clinic treatment. In this paper are related three cases surgically treated with good results and literature review
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