Off-pump resection of a coronary arterial fistula using the Harmonic Scalpel.
Off-pump surgery was performed in a patient with post-infarction angina complicated with aneurysmal coronary-pulmonary arterial fistula. Epicardial echocardiography localized the artery feeding the fistula in the myocardium, which had not been revealed by visual inspection, palpation, or transesophageal echocardiography. The patient underwent off-pump coronary artery bypass grafting concomitant with aneurysmectomy. The feeding arteries were dissected easily using a Harmonic Scalpel and ligated. The flow in the aneurysm disappeared immediately and aneurysmectomy was performed without bleeding.
Department of Cardiovascular Surgery, Toda Chuo General Hospital, Toda, Saitama, Japan.
Hiroshi
H
Ohuchi
Masataka
M
Hatanaka
Keiko
K
Abe
Shogo
S
Yatsu
D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000601:surgery*; D006801:Humans; D017075:Laser Coagulation / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D016157:Vascular Fistula / Q000601:surgery*