Total Endoscopic Surgical Treatment of a Gigantic Coronary Arteriovenous Fistula between Circumflex Artery and Superior Vena Cava through Right Anterior Mini-Thoracotomy

Abstract

Coronary arteriovenous fistula (CAF) is a rare congenital anomaly that occurs when there is an abnormal connection between the coronary artery and cardiac chamber or a great vessel. We report an unusual case of a gigantic CAF between the circumflex branch of the left coronary artery (LCx) and the superior vena cava (SVC) in a 54-year-old patient treated by totally endoscopic surgical closure through right anterior mini-thoracotomy (RAMT). The excellent clinical and cosmetic results confirm the safety and effectiveness of this technique even in certain rare congenital cardiovascular anomalies.