A simultaneous operation of closure of multiple congenital coronary artery-pulmonary artery fistulas and aortocoronary bypass grafting--a case report

R. Aeba, Y. Ishikura, S. Odagiri, M. Shimokawaji, W. Suzuki, H. Yoshimatsu

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 59-year-old male was admitted because of severe chest pain and diagnosed as inferior myocardial infarction by ECG and enzymologically, who had a Levine grade II continuous murmur in the left second intercostal space at the left sternal border. Cardiac catheterization revealed a 8% left to right shunt at pulmonary artery. Selective coronary cineangiography revealed left anterior descending-to-main pulmonary artery and left circumflex-to-main pulmonary artery fistulas, and severe atherosclerotic stenosis at right coronary and left anterior descending arteries. Operation was performed simultaneously, closure of two drainage orifices of the fistulous vessels through pulmonary arteriotomy and aortocoronary bypass grafting to left anterior descending under cardiopulmonary bypass. The postoperative course was uneventful, and the murmur was disappeared.

Original languageEnglish
Pages (from-to)555-560
Number of pages6
JournalJournal of the Japanese Association for Thoracic Surgery
Volume37
Issue number3
Publication statusPublished - 1989 Mar
Externally publishedYes

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Coronary Artery Bypass
Pulmonary Artery
Fistula
Coronary Vessels
Cineangiography
Inferior Wall Myocardial Infarction
Cardiac Catheterization
Chest Pain
Cardiopulmonary Bypass
Drainage
Electrocardiography
Pathologic Constriction
Arteries
Lung

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

A simultaneous operation of closure of multiple congenital coronary artery-pulmonary artery fistulas and aortocoronary bypass grafting--a case report. / Aeba, R.; Ishikura, Y.; Odagiri, S.; Shimokawaji, M.; Suzuki, W.; Yoshimatsu, H.

In: Journal of the Japanese Association for Thoracic Surgery, Vol. 37, No. 3, 03.1989, p. 555-560.

Research output: Contribution to journalArticle

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