Complete closure of coronary fistula communicating with the descending aorta

Autor: Lukas Lehmkuhl, Monika Kosiorowska, Paul P. Urbanski
Rok vydání: 2020
Předmět:
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