Surgical treatment of coronary arteriovenous fistulas and aortic valve insufficiency

J Card Surg. 2013 Jul;28(4):380-2. doi: 10.1111/jocs.12102. Epub 2013 Apr 18.

Abstract

We report a 76-year-old female with Takayasu arteritis who was found to have multiple coronary arteriovenous fistulas (CAVFs), a pulmonary-to-systemic ratio of 2:1, and aortic valve insufficiency. Aortic valve replacement and ligation of multiple CAVFs with cardiopulmonary bypass were performed under cardioplegic arrest, thus minimizing coronary steal.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / complications
  • Aortic Valve Insufficiency / surgery*
  • Arteriovenous Fistula / complications
  • Arteriovenous Fistula / surgery*
  • Cardiopulmonary Bypass
  • Coronary Disease / complications
  • Coronary Disease / surgery*
  • Coronary-Subclavian Steal Syndrome / prevention & control
  • Female
  • Heart Arrest, Induced
  • Heart Valve Prosthesis Implantation*
  • Humans
  • Intraoperative Complications / prevention & control
  • Ligation / methods*
  • Takayasu Arteritis / complications
  • Treatment Outcome
  • Vascular Surgical Procedures / methods*