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Ann Thorac Surg 2001;71:2018-2019
© 2001 The Society of Thoracic Surgeons

Case report

Surgical treatment of annuloaortic ectasia with coronary aneurysm and fistula

Teruhisa Kazui, MDa, Naoki Washiyama, MDa, Bashar A.H. Muhammad, MBBSa, Katsushi Yamashita, MDa, Makoto Takinami, MDa, Katsutoshi Miura, MDb

a First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan
b Division of Pathology, Hamamatsu University School of Medicine, Hamamatsu, Japan

Accepted for publication April 25, 2000.

Address reprint requests to Dr Kazui, First Department of Surgery, Hamamatsu University School of Medicine, 3600 Handa-cho, Hamamatsu, 431-3192, Japan
e-mail: tkazui{at}hama-med.ac.jp

Annuloaortic ectasia associated with a giant aneurysm of the left coronary artery and a coronary artery fistula is extremely rare, and it is difficult to decide how to repair this complex lesion. The cause of the huge aneurysm of the left coronary artery in our patient was thought to be cystic medial necrosis, the coronary artery fistula, or both. The surgical management of this extremely rare pathological combination is described.




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[Abstract] [Full Text] [PDF]


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