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Ann Thorac Surg 2006;81:729-732
© 2006 The Society of Thoracic Surgeons

Case report

Off-Pump Surgery for Multiple Coronary Artery Fistulas With Aneurysm

Ju-Chi Liu, MD a , Paul Chan, MD, PhD a , Tsung-Hao Chang, MD b , Robert Fu-Chean Chen, MD b , *

a Division of Cardiovascular Medicine, Taipei Medical University—Wan Fang Medical Center, Taipei, Taiwan
b Division of Cardiothoracic Surgery, Taipei Medical University—Wan Fang Medical Center, Taipei, Taiwan

Accepted for publication December 20, 2004.

* Address correspondence to Dr Chen, Division of Cardiothoracic Surgery, Taipei Medical University—Wan Fang Medical Center; No. 111, Hsing-Lung Road, Section 3, Wen Shan District, Taipei City, Taiwan 116 (Email: cvchen{at}wanfang.gov.tw).

A 78-year-old woman presented with acute myocardial infarction, anterior wall, Killip III, with congestive heart failure. The finding of coronary angiographic examination was multiple congenital coronary artery fistulas with a huge aneurysm, with fistulas originating from both the right coronary artery and left anterior descending artery. The patient received surgery successfully without cardiopulmonary bypass. The finding of the pathologic examination revealed hyaline change in the aneurysmal vessel wall. In a two-year follow-up, the patient was found to be asymptomatic clinically with improved left ventricular function.




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B. Mahesh, M. Navaratnarajah, K. Mensah, and M. Amrani
Treatment of high-output coronary artery fistula by off-pump coronary artery bypass grafting and ligation of fistula
Interactive CardioVascular and Thoracic Surgery, July 1, 2009; 9(1): 124 - 126.
[Abstract] [Full Text] [PDF]


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