Successful surgical repair of a bilateral coronary-to-pulmonary artery fistula.

نویسندگان

  • Hisayoshi Osawa
  • Taku Sakurada
  • Jun Sasaki
  • Eiji Araki
چکیده

A 58-year-old woman was admitted to our department for evaluating an abnormal blood flow in the main pulmonary artery by transthoracic echocardiography. Coronary angiography revealed the presence of fistulas originating from the left anterior descending artery and also the right coronary artery to the main pulmonary artery. Under cardiopulmonary bypass, both fistulas were ligated near the origin, and direct closure of drainage site in the main pulmonary artery was performed. The postoperative course was uneventful, and coronary angiography after surgery showed that the coronary-to-pulmonary artery fistulas (CPAFs) disappeared. We report a surgical repair of a bilateral CPAF because the cardiac anomaly is extremely rare.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Anomalous left coronary artery arising from the right pulmonary artery.

In this study, we describe a very rare case of anomalous left coronary artery arising from the right pulmonary artery in association with coarctation of the aorta. A 3-month-old boy presented with refractory congestive heart failure since 20 days after birth. The initial echocardiography suggested the diagnosis of left coronary artery-to-right pulmonary artery fistula associated with coarctatio...

متن کامل

The Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA): a Case Series and Brief Review

Background Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiovascular defect that occurs in approximately 1/300 000 live births or 0.5% of children with congenital heart disease. There are two types of ALCAPA syndrome: the infant type and the adult type. The most infants experience myocardial infarction and congestive heart failure, and approximately 9...

متن کامل

Large bilateral coronary artery fistula: the choice of clinical treatment.

We report the case of an asymptomatic female patient, with a large non-complicated bilateral coronary-pulmonary artery fistula. Clinical monitoring was the choice of treatment. We discuss the therapeutic options in depth, emphasizing the excessive tendency of the surgical approach and the great scarcity of reports on long-term clinical follow-up in asymptomatic patients.

متن کامل

Dual Fistula Origınating from Left Anterior Descending Coronary Artery; Off-Pump Surgical Closure Technique

The incidence of multiple fistulas within all coronary arteriovenous fistulas varies between 10.7% and 16%. Double coronary-arteriovenous fistulas originating from a coronary artery are much less common. In this study, we present a double fistula originating from left anterior descending coronary artery and communicating with main pulmonary artery. A 72-year-old female patient was admitted to o...

متن کامل

Surgical treatment of bilateral coronary-to-pulmonary artery fistulas.

Bilateral coronary artery fistulas with the coronary artery stenosis are rare. In this case, we successfully performed closure of coronary artery fistulas with coronary artery bypass grafting. Furthermore, we were able to measure the flow in the coronary artery fistulas using transit-time flow measurement.

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia

دوره 15 1  شماره 

صفحات  -

تاریخ انتشار 2009