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Ann Thorac Surg 2008;86:e3. doi:10.1016/j.athoracsur.2008.06.082
© 2008 The Society of Thoracic Surgeons
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Antonino Ginel
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Right arrow Valve disease

Images in Cardiothoracic Surgery

Giant Circumflex Coronary Artery Fistula to the Superior Vena Cava in Patient With Multiple Valvular Disease

Christian Muñoz-Guijosa, MDa,*, Antonino Ginel, MDa, Ruben Leta, MDb, Eduard Permanyer, MDa, Jose Maria Padró, MD, PhDa

a Department of Cardiac Surgery, Hospital de la Santa Creu y Sant Pau, Barcelona, Spain
b Department of Cardiology, Hospital de la Santa Creu y Sant Pau, Barcelona, Spain

* Address correspondence to Dr Muñoz-Guijosa, Hospital de la Santa Creu y Sant Pau, C/Padre Maria Claret 167, Barcelona, 08025, Spain (Email: cmunozg@santpau.es).

The first 20% of the full text of this article appears below.

A 68-year-old man was admitted to our hospital with a history of dyspnea and considerable fatigue with exercise. Transthoracic echocardiography showed severe mitral, aortic, and tricuspid regurgitation. The patient underwent coronary angiography before surgery, which revealed a giant coronary artery fistula arising from the circumflex artery (Fig 1). A multi-sliced computed tomographic scan was performed to delineate the fistula and localize its drainage. Three-dimensional reconstruction . . . [Full Text of this Article]






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