Epicardial 15-MHz Echocardiography for Effective Repair of Coronary Arteriovenous Fistula.

Komeda, Masashi; Uchiyama, Hirotomo; Nakamura, Sakurako; Kusunose, Takashi; Fujiwara, Shoji; Ujiie, Toshimi · Ann Thorac Surg · 2018

case_series · Level IV

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Abstract

In the era of catheter intervention, the surgical repair of coronary arteriovenous fistula needs to be free from residual shunt. Intraoperative epicardial 15-MHz echocardiography helps to find the residual shunt after ligation or obliteration of anomalous vessels. Here we report our method of the echo-assisted surgical repair of coronary arteriovenous fistula in 7 adult patients. The method made the operation for coronary arteriovenous fistula free from residual shunt, but care should be taken to the development of new vessels after the operation.

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