title: [An operative case of congenital fistula of the right coronary artery to the left ventricle with congestive heart failure].
abstract: We reported an extremely rare case of congenital fistula of the right coronary artery to the left ventricle in a 71-year-old man who suffered from difficulty in breathing and palpitation. The diagnosis was confirmed by the right coronary angiography. The fistula was closed by Symbas's operation under cardiopulmonary bypass. Postoperative recovery was uneventful. Coronary angiography performed one year after the operation revealed that the right coronary artery was completely occluded by thrombus. But there were no signs of myocardial ischemia or infarction. And so we suspected that the dilated right coronary artery had not work as functional vessel.
authors.affiliation: Department of Thoracic Surgery, Minami Osaka General Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Tanaka
authors.forename: E
authors.initials: E
authors.lastname: Tsujii
authors.forename: S
authors.initials: S
authors.lastname: Kakimoto
authors.forename: H
authors.initials: H
authors.lastname: Yamashita
authors.forename: H
authors.initials: H
authors.lastname: Hazui
authors.forename: K
authors.initials: K
authors.lastname: Miyakoshi
authors.forename: H
authors.initials: H
authors.lastname: Hamada
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass; D003330:Coronary Vessel Anomalies / Q000601:surgery*; D005402:Fistula / Q000151:congenital / Q000601:surgery*; D006333:Heart Failure / Q000150:complications*; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008297:Male