title: Surgical treatment of coronary arteriovenous fistulas and aortic valve insufficiency.
abstract: We report a 76-year-old female with Takayasu arteritis who was found to have multiple coronary arteriovenous fistulas (CAVFs), a pulmonary-to-systemic ratio of 2:1, and aortic valve insufficiency. Aortic valve replacement and ligation of multiple CAVFs with cardiopulmonary bypass were performed under cardioplegic arrest, thus minimizing coronary steal.
authors.affiliation: Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Maeda
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Yoshikawa
authors.forename: Shigeru
authors.initials: S
authors.lastname: Miyagawa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nishi
authors.forename: Satsuki
authors.initials: S
authors.lastname: Fukushima
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Ueno
authors.forename: Koichi
authors.initials: K
authors.lastname: Toda
authors.forename: Toru
authors.initials: T
authors.lastname: Kuratani
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sawa
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000150:complications / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D058686:Coronary-Subclavian Steal Syndrome / Q000517:prevention & control; D005260:Female; D006324:Heart Arrest, Induced; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008026:Ligation / Q000379:methods*; D013625:Takayasu Arteritis / Q000150:complications; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*