Hybrid approach to closure of an acquired coronary-cameral fistula

Imthiaz Manoly, Vaikom S Mahadevan, J Andreas Hoschtitzky

Research output: Contribution to journalArticlepeer-review


Coronary-cameral fistula is an abnormal fistulous communication between a coronary artery and a cardiac chamber. Significant fistulae require closure either percutaneously or surgically to avoid any complications. We describe the case of a 19-year-old male patient with tetralogy of Fallot, who presented with a complex coronary-cameral fistula, which precluded percutaneous occlusion. By means of a hybrid approach, the fistula was easily located and closed surgically. Where surgical correction of such fistulae is warranted in the setting of other cardiac defects, a hybrid approach to isolate the fistula followed by surgical intervention will reduce operative time, thereby potentially lowering perioperative complications.

Original languageEnglish
Pages (from-to)e59-61
JournalAnnals of Thoracic Surgery
Issue number3
Publication statusPublished - Sept 2014


  • Cardiac Surgical Procedures
  • Fistula
  • Heart Diseases
  • Humans
  • Male
  • Vascular Fistula
  • Vascular Surgical Procedures
  • Young Adult
  • Case Reports
  • Journal Article


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