title: Successful surgical repair of a bilateral coronary-to-pulmonary artery fistula.
abstract: A 58-year-old woman was admitted to our department for evaluating an abnormal blood flow in the main pulmonary artery by transthoracic echocardiography. Coronary angiography revealed the presence of fistulas originating from the left anterior descending artery and also the right coronary artery to the main pulmonary artery. Under cardiopulmonary bypass, both fistulas were ligated near the origin, and direct closure of drainage site in the main pulmonary artery was performed. The postoperative course was uneventful, and coronary angiography after surgery showed that the coronary-to-pulmonary artery fistulas (CPAFs) disappeared. We report a surgical repair of a bilateral CPAF because the cardiac anomaly is extremely rare.
authors.affiliation: Department of Cardiovascular Surgery, Sapporo Chuo Hospital, Sapporo, Hokkaido, Japan.
authors.forename: Hisayoshi
authors.initials: H
authors.lastname: Osawa
authors.forename: Taku
authors.initials: T
authors.lastname: Sakurada
authors.forename: Jun
authors.initials: J
authors.lastname: Sasaki
authors.forename: Eiji
authors.initials: E
authors.lastname: Araki
mesh_terms: D001159:Arterio-Arterial Fistula / Q000473:pathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D008026:Ligation; D008875:Middle Aged; D011651:Pulmonary Artery / Q000473:pathology / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome