Video-thoracoscopy closure of coronary artery fistula: case report.
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.
Fortunato Júnior
Jeronimo Antonio
JA
Cardiac Surgery Dept. - Hospital da Cruz Vermelha Brasileira, filial do Paraná - Universidade Positivo, Curitiba, PR, Brasil. jfjunior@uol.com.br
Branco Filho
Alcides A
AA
Granzotto
Paula C N
PC
Moreira
Letícia M S
LM
Martins
André Luiz M
AL
Pereira
Marcelo L
ML
Ferraz
João Gustavo G
JG
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*