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Surgical treatment of a left anterior descending artery to the main pulmonary artery fistula.

Abstract

We report a case of surgical treatment of a 58-year-old symptomatic patient with large coronary artery fistula, which drained from the left anterior descending artery into the main pulmonary artery (PA), and concomitant large patent foramen ovale. The surgery was performed through a median sternotomy with aortobicaval total cardiopulmonary bypass. The PA was incised. The fistula was identified 5 mm above the anterior leaflet of the pulmonary valve and was closed off using a prolene suture. Afterward, the atrium septum defect was closed with a Dacron patch via the standard right atrium access. There were no postoperative complications.

Authors+Show Affiliations

Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.Department of Cardiovascular Surgery, The Pronto Socorro Cardiológico de Pernambuco (PROCAPE), Recife, Brazil.Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.Department of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center Essen, University Hospital of Essen, University Duisburg-Essen, Essen, Germany.Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31638718

Citation

Zhigalov, Konstantin, et al. "Surgical Treatment of a Left Anterior Descending Artery to the Main Pulmonary Artery Fistula." Journal of Cardiac Surgery, 2019.
Zhigalov K, Alofesh A, Sá MPBO, et al. Surgical treatment of a left anterior descending artery to the main pulmonary artery fistula. J Card Surg. 2019.
Zhigalov, K., Alofesh, A., Sá, M. P. B. O., Easo, J., Ruhparwar, A., & Weymann, A. (2019). Surgical treatment of a left anterior descending artery to the main pulmonary artery fistula. Journal of Cardiac Surgery, doi:10.1111/jocs.14288.
Zhigalov K, et al. Surgical Treatment of a Left Anterior Descending Artery to the Main Pulmonary Artery Fistula. J Card Surg. 2019 Oct 22; PubMed PMID: 31638718.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical treatment of a left anterior descending artery to the main pulmonary artery fistula. AU - Zhigalov,Konstantin, AU - Alofesh,Ahmad, AU - Sá,Michel P B O, AU - Easo,Jerry, AU - Ruhparwar,Arjang, AU - Weymann,Alexander, Y1 - 2019/10/22/ PY - 2019/10/23/entrez KW - congenital heart disease KW - coronary arteriovenous fistula KW - coronary artery fistula JF - Journal of cardiac surgery JO - J Card Surg N2 - We report a case of surgical treatment of a 58-year-old symptomatic patient with large coronary artery fistula, which drained from the left anterior descending artery into the main pulmonary artery (PA), and concomitant large patent foramen ovale. The surgery was performed through a median sternotomy with aortobicaval total cardiopulmonary bypass. The PA was incised. The fistula was identified 5 mm above the anterior leaflet of the pulmonary valve and was closed off using a prolene suture. Afterward, the atrium septum defect was closed with a Dacron patch via the standard right atrium access. There were no postoperative complications. SN - 1540-8191 UR - https://www.unboundmedicine.com/medline/citation/31638718/Surgical_treatment_of_a_left_anterior_descending_artery_to_the_main_pulmonary_artery_fistula L2 - https://doi.org/10.1111/jocs.14288 DB - PRIME DP - Unbound Medicine ER -