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Ann Thorac Surg 2007;83:291-293
© 2007 The Society of Thoracic Surgeons

Case Reports

Surgical Treatment of Bilateral Aneurysmal Coronary to Pulmonary Artery Fistulas Associated With Severe Atherosclerosis

Salah A.M. Said, MDa,*, Willem G. de Voogt, MD, PhDb, Mohamed Soliman Hamad, MDc, Jacques Schonberger, MD, PhDc

a Departments of Cardiology, Hospital Group Twente, Hengelo, The Netherlands
b St. Lucas Andreas Hospital, Amsterdam, The Netherlands
c Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, the Netherlands

Accepted for publication May 10, 2006.

* Address correspondence to Dr Said, Department of Cardiology, Hospital Group Twente, Geerdinksweg DL Hengelo, 141, 7555 the Netherlands (Email: samsaid{at}home.nl).

A 39-year-old diabetic patient with an old inferior wall infarction presented with disabling angina pectoris, despite medical treatment. Coronary angiography showed severe triple-vessel coronary artery disease, and bilateral coronary to pulmonary fistulas originating from the right coronary artery and the left anterior descending coronary artery. Both coronary artery saphenous vein bypass grafting and ligation of the fistulas was performed.






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