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Ann Thorac Surg 1995;59:224-227
© 1995 The Society of Thoracic Surgeons
a Division of Cardiovascular Surgery, Shimonoseki Municipal Hospital, Yamaguchi, Japan
b Division of Cardiovascular Surgery, Kyushu University, Fukuoka, Japan
Accepted for publication April 29, 1994.
* Address reprint requests to Dr Tokunaga, Division of Cardiovascular Surgery, Research Institute of Angiocardiology, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812, Japan.
We describe a case in which a left ventricular-coronary sinus communication through a dissecting ventricular septal aneurysm developed after a redo mitral valve replacement. The outlet orifice of the communication was located in the side wall of the ostium of the coronary sinus. Both the communication and the aneurysm were successfully dealt with by performing a right atriotomy and by opening the aneurysm from its outlet orifice.
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