Grande fístula bilateral da artéria coronária: a escolha do tratamento clínico

Abstract

We report the case of an asymptomatic female patient, with a large non-complicated bilateral coronary-pulmonary artery fistula. Clinical monitoring was the choice of treatment. We discuss the therapeutic options in depth, emphasizing the excessive tendency of the surgical approach and the great scarcity of reports on long-term clinical follow-up in asymptomatic patients.

Large Bilateral Coronary Artery Fistula: 10-year follow-up in Clinical Treatment

“…As previously discussed, 1 we emphasize that the conservative treatment is safe and should be carried out in asymptomatic patients and / or those without complications, as the one described in this case report. In symptomatic or complicated patients, however, percutaneous or surgical interventions are indicated.…”

“…We report on the 10-year evolution of an asymptomatic patient with a large bilateral coronary artery-pulmonary artery fistula for whom clinical treatment was chosen. Published previously, 1 the report reinforces the need for treatment individualization in patients with moderate coronary fistulas.…”