Coronary arteriovenous fistula with annuloaortic ectasia and aortic regurgitation.
Cardiac catheterization in a 57-year-old man disclosed a left coronary artery-coronary sinus fistula with annuloaortic ectasia and severe aortic regurgitation. During surgery, the fistula vessel was exposed and clamped before infusing cardioplegic solution for cardiac arrest. The proximal orifice of the fistula was closed directly and the distal orifice doubly ligated. A modified Bentall's procedure was conducted without difficulty. The postoperative course was uneventful.
Second Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan.
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T
Kono
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Kitahara
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H
Kuroda
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J
Amano
D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000601:surgery; D001164:Arteriovenous Fistula / Q000150:complications* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged