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Surgical treatment of a left anterior descending artery to the main pulmonary artery fistula
Author(s) -
Zhigalov Konstantin,
Alofesh Ahmad,
Sá Michel P. B. O.,
Easo Jerry,
Ruhparwar Arjang,
Weymann Alexander
Publication year - 2020
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/jocs.14288
Subject(s) - medicine , median sternotomy , cardiopulmonary bypass , pulmonary artery , patent foramen ovale , surgery , fistula , artery , fibrous joint , cardiology , left pulmonary artery , cardiac surgery , percutaneous
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.