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Minimal invasive coronary artery fistula ligation.

Mitropoulos FA, Kanakis MA, Chatzis A, Contrafouris C, Sofianidou IA, Lioulias AG - Korean J Thorac Cardiovasc Surg (2014)

Bottom Line: A coronary artery fistula was surgically ligated in a 38-year-old woman via a left anterior mini-thoracotomy without the use of cardiopulmonary bypass.In selected cases, this surgical approach can provide an excellent surgical exposure for coronary artery fistula ligation.It also offers an excellent cosmetic result and shorter hospital stay.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center.

ABSTRACT
A coronary artery fistula was surgically ligated in a 38-year-old woman via a left anterior mini-thoracotomy without the use of cardiopulmonary bypass. In selected cases, this surgical approach can provide an excellent surgical exposure for coronary artery fistula ligation. It also offers an excellent cosmetic result and shorter hospital stay.

No MeSH data available.


Related in: MedlinePlus

Coronary arteriography depicting (A) the fistula originating from the circumflex artery and (B) draining into the main pulmonary artery (arrows).
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f1-kjtcvs-47-545: Coronary arteriography depicting (A) the fistula originating from the circumflex artery and (B) draining into the main pulmonary artery (arrows).

Mentions: A 38-year-old woman presented with a six-month history of progressive exertional dyspnea and a new onset of syncopal episodes. Auscultation revealed a continuous murmur at the left sternal border. The rest of the clinical examination and laboratory workup was unremarkable. Transthoracic echocardiography showed an anomalous vascular structure originating from the circumflex artery and draining to the main pulmonary artery with a significant left to right shunt, mild dilatation of the right heart chambers, and a 60% ejection fraction. Magnetic resonance imaging and coronary angiography confirmed the presence of a coronary artery fistula (Fig. 1). The pulmonary to systemic flow ratio was calculated as 1.8 to 1. Transcatheter closure was not feasible due to the absence of an appropriate neck and the patient was therefore referred for surgical correction.


Minimal invasive coronary artery fistula ligation.

Mitropoulos FA, Kanakis MA, Chatzis A, Contrafouris C, Sofianidou IA, Lioulias AG - Korean J Thorac Cardiovasc Surg (2014)

Coronary arteriography depicting (A) the fistula originating from the circumflex artery and (B) draining into the main pulmonary artery (arrows).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279827&req=5

f1-kjtcvs-47-545: Coronary arteriography depicting (A) the fistula originating from the circumflex artery and (B) draining into the main pulmonary artery (arrows).
Mentions: A 38-year-old woman presented with a six-month history of progressive exertional dyspnea and a new onset of syncopal episodes. Auscultation revealed a continuous murmur at the left sternal border. The rest of the clinical examination and laboratory workup was unremarkable. Transthoracic echocardiography showed an anomalous vascular structure originating from the circumflex artery and draining to the main pulmonary artery with a significant left to right shunt, mild dilatation of the right heart chambers, and a 60% ejection fraction. Magnetic resonance imaging and coronary angiography confirmed the presence of a coronary artery fistula (Fig. 1). The pulmonary to systemic flow ratio was calculated as 1.8 to 1. Transcatheter closure was not feasible due to the absence of an appropriate neck and the patient was therefore referred for surgical correction.

Bottom Line: A coronary artery fistula was surgically ligated in a 38-year-old woman via a left anterior mini-thoracotomy without the use of cardiopulmonary bypass.In selected cases, this surgical approach can provide an excellent surgical exposure for coronary artery fistula ligation.It also offers an excellent cosmetic result and shorter hospital stay.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center.

ABSTRACT
A coronary artery fistula was surgically ligated in a 38-year-old woman via a left anterior mini-thoracotomy without the use of cardiopulmonary bypass. In selected cases, this surgical approach can provide an excellent surgical exposure for coronary artery fistula ligation. It also offers an excellent cosmetic result and shorter hospital stay.

No MeSH data available.


Related in: MedlinePlus