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Ann Thorac Surg 2004;78:e26-e27
© 2004 The Society of Thoracic Surgeons

Case report

Coronary artery to the left atrial fistula after resection of atrial appendages

Phong Nguyen-Do, MBBSa, Paul Bannon, FRACS, PhDb, Dominic Y. Leung, FRACP, PhD*a

a Department of Cardiology, Liverpool Hospital, University of New South Wales, Liverpool, Australia
b Department of Cardiothoracic Surgery, Liverpool Hospital, University of New South Wales, Liverpool, Australia

Accepted for publication October 24, 2003.

* Address reprint requests to Dr Leung, Liverpool Hospital, Locked Bag 7017, Liverpool BC NSW 1871, Australia
e-mail: d.leung{at}unsw.edu.au

We report the case of a fistula formation between the left circumflex coronary artery draining into the left atrium as a complication of radiofrequency cardio-ablation and resection of the atrial appendages. This complication was diagnosed with the use of transesophageal echocardiography and was subsequently confirmed on coronary angiography.






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