Novel Surgical Technique for Coronary Fistulas With Proximal Origin.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 28838523.
- Also identified by DOI 10.1016/j.athoracsur.2017.04.020.
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Abstract
Postoperative residual shunting is a significant concern in patients with coronary arteriovenous fistulas, especially in fistulas originating from the proximal left coronary artery, because of the limited surgical field. We report a case of fistulas originating from the proximal coronary artery in a 63-year-old woman in whom the ascending aorta and pulmonary artery were transected to obtain good surgical exposure. After complete transection of both great arteries, fistulas arising from the left main trunk were ligated externally, and their intracardiac openings were closed internally. Postoperative examination revealed no residual shunt flow.
Medical subject headings
- Arterio-Arterial Fistula
- Coronary Vessel Anomalies