Surgical procedure for coronary artery ectasia associated with saccular fistula.
Echocardiography of a 60 year-old woman with a three-year history of heart murmur revealed a coronary artery fistula. Coronary angiography indicated right coronary artery ectasia and fistula. The pulmonary-to-systemic blood flow ratio was 1.4, and left-to-right shunt, 29%. On follow-up, infective endocarditis of the tricuspid valve had developed and was treated using antibiotics. The right coronary artery was dilated along its length and was saccular at the distal aspect. At this point, a fistula also connected by the left anterior descending and left circumflex arteries drained into the right ventricle. Fistula closure and reduction aneurysmectomy were performed.
Department of Surgery, Saiseikai Yamaguchi General Hospital. Electronic address: muraka3@yamaguchi-u.ac.jp.
Masanori
M
Murakami
Department of Surgery, Saiseikai Yamaguchi General Hospital.
Hidenori
H
Gohra
Department of Surgery, Saiseikai Yamaguchi General Hospital.
Takeshi
T
Yagi
Department of Surgery, Saiseikai Yamaguchi General Hospital.
Mitsutaka
M
Jinbou
Department of Surgery, Saiseikai Yamaguchi General Hospital.
Toshiro
T
Kobayashi
Department of Surgery, Saiseikai Yamaguchi General Hospital.
Satoshi
S
Saito
Department of Surgery, Saiseikai Yamaguchi General Hospital.
Tsuyoshi
T
Takahashi
Department of Cardiovascular Medicine, Saiseikai Yamaguchi General Hospital.
Kotaro
K
Shiomi
Department of Cardiovascular Medicine, Saiseikai Yamaguchi General Hospital.
Siro
S
Ono
Division of Cardiac Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine.
Kimikazu
K
Hamano
D000783:Aneurysm / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000188:drug therapy; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D014463:Ultrasonography; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000601:surgery*
Coronary artery ectasia; Coronary artery fistula; Coronary artery imaging; Reduction aneurysmectomy; Surgery techniques