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 journalArticlepeer-review

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 1

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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