The Annals of Thoracic Surgery, Vol 57, 232-234, Copyright © 1994 by The Society of Thoracic Surgeons
Spontaneous thrombosis in a coronary artery fistula with aneurysmal dilatation of the sinus of Valsalva
PT Roughneen, M Bhattacharjee, PT Morris, M Nasser and GJ Reul
Division of Cardiovascular Surgery, Texas Heart Institute, Houston.
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.