Complete closure of coronary fistula communicating with the descending aorta
Autor: | Lukas Lehmkuhl, Monika Kosiorowska, Paul P. Urbanski |
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Rok vydání: | 2020 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Fistula Closure (topology) Arteriovenous fistula Aorta Thoracic 030204 cardiovascular system & hematology Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine medicine.artery Rare case medicine Humans Computed tomography angiography Aorta Aortic Aneurysm Thoracic medicine.diagnostic_test business.industry General Medicine medicine.disease Blood Vessel Prosthesis Surgery Coronary fistula 030228 respiratory system Descending aorta cardiovascular system Stents Cardiology and Cardiovascular Medicine business |
Zdroj: | Asian Cardiovascular and Thoracic Annals. 29:801-803 |
ISSN: | 1816-5370 0218-4923 |
DOI: | 10.1177/0218492320981505 |
Popis: | We report a rare case of complex coronary fistula that contained two aneurysms and was connected to the descending aorta. The fistula was also associated with further aortic pathologies necessitating surgery. Preoperative computed tomography angiography, which revealed an abnormal vessel communication, was crucial for choosing the appropriate operative strategy. During a one-stage procedure comprising closure of both arterial (aortic and coronary) fistula origins and repair of the aortic valve and thoracic aorta, the coronary origin of the fistula was ligated and the frozen elephant trunk technique was used to close the aortic origin. |
Databáze: | OpenAIRE |
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