title: Video-thoracoscopy closure of coronary artery fistula: case report.
abstract: The coronary artery fistulas (FAC) are rare and often found occasionally. The conventional treatment can be made by surgical closure with median thoracotomy or with embolization by catheterization. We describe an innovative technique to ligature of FAC, on a full endoscopy. Women, 45 years with symptomatic fistula between coronary artery anterior descending and trunk artery pulmonary, which took thoracoscopy left, pericardiotomy and ligation of fistula with metal clip without thoracotomy. There were no complications, stayed 24 hours in the ICU and was in hospital 4 days. The technique was effective, allows easy accessibility surgical and quick post-operative recovery.
authors.affiliation: Cardiac Surgery Dept. - Hospital da Cruz Vermelha Brasileira, filial do Paraná - Universidade Positivo, Curitiba, PR, Brasil. jfjunior@uol.com.br
authors.forename: Jeronimo Antonio
authors.initials: JA
authors.lastname: Fortunato Júnior
authors.forename: Alcides A
authors.initials: AA
authors.lastname: Branco Filho
authors.forename: Paula C N
authors.initials: PC
authors.lastname: Granzotto
authors.forename: Letícia M S
authors.initials: LM
authors.lastname: Moreira
authors.forename: André Luiz M
authors.initials: AL
authors.lastname: Martins
authors.forename: Marcelo L
authors.initials: ML
authors.lastname: Pereira
authors.forename: João Gustavo G
authors.initials: JG
authors.lastname: Ferraz
mesh_terms: D001159:Arterio-Arterial Fistula / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation / Q000379:methods*