The management of a coronary cameral fistula: lessons learnt

Abstract

Coronary arteriovenous fistula (CAVF) is a rare congenital anomaly. Literature on CAVF perioperative anaesthetic management is limited, but the consequences of mismanaging symptomatic CAVF are dire, with the potential risk of perioperative myocardial infarction, and even death. We present a 48-year-old male with symptomatic congenital coronary cameral fistulae, who underwent a successful surgical repair of the fistulae. This case study describes this very rare phenomenon, and its perioperative anaesthetic management, including the lessons learnt.