title: Incidental left anterior descending coronary artery to pulmonary artery fistula in myxomatous mitral valve prolapse.
abstract: Uniqueness of this case report is that though coronary cameral fistulas are itself rare, we closed fistula effectively in a different way. Since surgery was only good option available as patient had concomitant valvular disease, we closed distal end of fistula in PA and then took deep bites of suture in fistulous track itself. This approach closed fistula effectively and we had no need to dissect and ligate its origin from LAD which is more arduous and dangerous task.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Medanta - The Medicity, Gurgaon, Haryana, India. Electronic address: draggarwal.pankaj@gmail.com.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Aggarwal
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Medanta - The Medicity, Gurgaon, Haryana, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Bhan
mesh_terms: D000328:Adult; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008945:Mitral Valve Prolapse / Q000150:complications; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*
keywords: Coronary artery fistula; Left anterior descending artery; Pulmonary artery