Novel Surgical Technique for Coronary Fistulas With Proximal Origin

Tetsuro Uchida; Azumi Hamasaki; Yoshinori Kuroda; Eiichi Ohba; Atsushi Yamashita; Mitsuaki Sadahiro

doi:10.1016/j.athoracsur.2017.04.020

Novel Surgical Technique for Coronary Fistulas With Proximal Origin

Ann Thorac Surg. 2017 Sep;104(3):e261-e263. doi: 10.1016/j.athoracsur.2017.04.020.

Authors

Tetsuro Uchida¹, Azumi Hamasaki², Yoshinori Kuroda², Eiichi Ohba², Atsushi Yamashita², Mitsuaki Sadahiro²

Affiliations

¹ Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan. Electronic address: [email protected].
² Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.

PMID: 28838523
DOI: 10.1016/j.athoracsur.2017.04.020

Abstract

Postoperative residual shunting is a significant concern in patients with coronary arteriovenous fistulas, especially in fistulas originating from the proximal left coronary artery, because of the limited surgical field. We report a case of fistulas originating from the proximal coronary artery in a 63-year-old woman in whom the ascending aorta and pulmonary artery were transected to obtain good surgical exposure. After complete transection of both great arteries, fistulas arising from the left main trunk were ligated externally, and their intracardiac openings were closed internally. Postoperative examination revealed no residual shunt flow.

Publication types

Case Reports

MeSH terms

Aorta, Thoracic / surgery
Arterio-Arterial Fistula / surgery*
Coronary Vessel Anomalies / surgery*
Coronary Vessels / surgery
Female
Humans
Middle Aged
Pulmonary Artery / surgery