Abstract:
:Three patients were treated for coronary artery-pulmonary artery fistula. Each was asymptomatic due to a coronary artery fistula. There was one instance each of myocardial infarction, mitral stenosis and a large closed ruptured aneurysm including a thrombus. All the fistulas were comprised of several small plexiform arranged vessels. The left to right shunt ratio was approximately 8 percent or less. A surgical operation was performed to close the drainage orifice of the fistulas through pulmonary arteriotomy under cardiopulmonary bypass in two patients while one patient underwent a ligation of a large abnormal vessel to the aneurysm followed by a resection of the aneurysm without cardiopulmonary bypass. A large saccular aneurysm of such fistulas is rare and a rupture of such an aneurysm is even more rare. The surgical management of coronary artery fistulas is also discussed herein.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Ishikura Y,Odagiri S,Shimazu A,Hirao D,Watanabe H,Yano Kdoi
10.1007/BF00311346subject
Has Abstractpub_date
1992-01-01 00:00:00pages
176-9issue
2eissn
0941-1291issn
1436-2813journal_volume
22pub_type
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