Internal of thoracic fistula were 21 cases, 17 cases accepted expectant treatment, 12 cases were cured(70. 59%) and 7 died (29.41%), 2 cases were reoprated to repair orificium fistulae, 1 case was cured(50. 00%) and 1 died (50. 00%), 2 cases were reoprated to resect stoma reanastomosis, 1 cases was cured(50. 00%) and 1 died (50. 00%).
After salivary gland operations,temportal bell paralysis happened in 8 cases,gustatory sweating syndrome occurred in 8 cases,salivary fistula happened in 7 cases,salivary dropsy occurred in 3 cases,and tumor recurred in 2 cases.
Results After salivary gland operations, temporal Bell paralysis happened in 31 cases, gustatory sweating syndrome occurred in 28 cases, salivary fistula happened in 9 cases, salivary dropsy occurred in 7 cases, and tumor recurrence happened in 14 cases.
The potentially serious anomalies include: ectopic coronary origin from the pulmonary artery; ectopic coronary origin from the opposite aortic sinus; and large coronary fistulae.
Congenital arteriovenous coronary fistulae are a rare condition of a direct communication between a coronary artery and one of the cardiac chambers, the coronary sinus, the superior vena cava or the pulmonary artery.
Whether congenital coronary artery fistulae should be treated by transcatheter intervention or surgery and in which patients fistula closure should be performed is controversial.
???This report summarizes our experience of the surgical treatment of congenital arteriovenous coronary fistulae in 14 patients at the Deutsches Herzzentrum Berlin between March 1988 and April 1997.
The fistulae drained into the pulmonary artery in eight cases, into the superior vena cava and into the right atrium in two cases, and into the right ventricle and into the coronary sinus once.