Carotid cavernous fistulas are abnormal communications between the carotid and cavernous vasculature, with potential for serious neurological and ocular sequelae. There is considerable literature on the neuro-radiological management of carotico-cavernous fistula depending upon their flow status. The coronary artery bypass grafting (CABG) for coronary artery disease (CAD) is a well established method of revascularization. However, the association of carotid cavernous fistula in presence of CAD is an infrequent occurrence. We present a case of coronary artery disease scheduled for bypass surgery, developed spontaneous bilateral carotid cavernous fistulas, highlighting a unique aspect of association between coronary and carotid disease.
Journal of the College of Physicians and Surgeons Pakistan
(2011). Carotid cavernous fistula in a patient with coronary artery disease. Journal of the College of Physicians and Surgeons Pakistan, 21(2), 106-8.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_med_cardiol/4