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Ann Thorac Surg 1996;61:1520-1523
© 1996 The Society of Thoracic Surgeons

Case Report

Successful Repair of Coronary Artery-Coronary Sinus Fistula With Aneurysm in an Adult

Tomio Abe, MD, Koji Kamata, MD, Katsuhiko Nakanishi, MD, Kiyofumi Morishita, MD, Sakuzo Komatsu, MD

Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan

Accepted for publication October 24, 1995.

We report a very rare case of an adult with coronary artery fistula and aneurysm formation. This fistula was successfully closed with direct suture closures by opening the aneurysm under complete cardiopulmonary bypass. The distal terminated orifice of the fistula, which drained to the coronary sinus, was also closed. Finally, aneurysmorrhaphy with overlapping mattress sutures was performed. The postoperative angiographic study demonstrated normal coronary artery distribution, and the patient was asymptomatic without recurrence at 2 years after the operation.




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