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Ann Thorac Surg 1994;57:232-234
© 1994 The Society of Thoracic Surgeons

Articles

Spontaneous thrombosis in a coronary artery fistula with aneurysmal dilatation of the sinus of Valsalva

Patrick T. Roughneen, FRCS, Modhushudhan Bhattacharjee, FRCSI, Paul T. Morris, MD, Maher Nasser, MD, George J. Reul, MD*

Division of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, USA

Accepted for publication April 5, 1993.

* Address reprint requests to Dr Reul, Division of Cardiovascular Surgery. Texas Heart Institute, PO Box 20345, Houston, TX 77225.

This case report describes spontaneous thrombosis of a congenital coronary artery fistula with associated aneurysmal dilatation of the right coronary sinus of Valsalva. The grossly dilated sinus of Valsalva was reconstructed with a Dacron patch. Coronary revascularization was performed with a sequential saphenous vein graft anastomosed to the right posterior descending and posterior ventricular arteries distally and to the aorta proximally.






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