SURGICAL-CORRECTION OF DOUBLE CONGENITAL CORONARY PULMONARY-ARTERY FISTULAS AND RHEUMATIC MITRAL AND AORTIC-VALVE DISEASE - A CASE-REPORT

A sixty-seven-year-old woman suffering from combined mitral and aortic rheumatic valve disease was shown by coronary angiography to have two congenital coronary artery fistulas, one originating from the proxima l left anterior descending artery, the other from the right coronary a rtery, and both draining into the pulmonary trunk. Surgical correction of the fistulas and implantation of two mechanical prosthetic valves were successfully performed. As far as the authors know, this is the f irst reported case of a surgical correction of double congenital coron ary artery fistulas and rheumatic mitral and aortic valve disease.