Surgical management of the coronary artery to pulmonary artery fistulas; a case of a large ruptured aneurysm.

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 Today

journal_title

Surgery today

authors

Ishikura Y,Odagiri S,Shimazu A,Hirao D,Watanabe H,Yano K

doi

10.1007/BF00311346

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

176-9

issue

2

eissn

0941-1291

issn

1436-2813

journal_volume

22

pub_type

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