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Surgical Treatment of Multiple Coronary Artery Fistulas with an Associated Small Saccular Aneurysm—A Case Report
Author(s) -
Fujii Hiromichi,
Tsutsumi Yasushi,
Ohashi Hirokazu,
Kawai Takahiro,
Iino Kenji,
Onaka Masateru
Publication year - 2006
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2006.00308.x
Subject(s) - medicine , artery , coronary arteries , right coronary artery , ascending aorta , aneurysm , cardiology , fistula , surgery , aorta , radiology , coronary angiography , myocardial infarction
Coronary angiography (CAG) of a 57‐year‐old woman with anterior chest discomfort revealed no stenosis of the coronary arteries but multiple coronary artery fistulas (CAFs). The sites of origin for the CAFs were the right coronary artery, left main coronary artery, left anterior descending coronary artery, and ascending aorta. The only site for drainage was the main pulmonary artery. Furthermore, a small saccular aneurysmal formation was detected. Surgical treatment was considered better than conservative treatment or coil embolization, and ligation and division of the CAFs were performed during cardiopulmonary bypass. Using a Harmonic Scalpel to expose fistulous arteries was very effective. CAG performed immediately after surgery demonstrated that all CAFs were repaired. The postoperative course was uneventful.