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A Novel Murine Model of Arteriovenous Fistula Failure: The Surgical Procedure in Detail
Published on: February 3, 2016
Coronary Arteriovenous Fistula Draining Into Persistent Left Superior Vena Cava
Tomohito Kanzaki1, Satoshi Numata1, Sachiko Yamazaki1
1Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Abstract:
A 75-year-old woman was referred to our hospital for dyspnea and edema of the lower limbs. Computed tomography angiography revealed a dilated left coronary artery from the left main trunk to the left circumflex branch and a dilated fistula originating from the left circumflex branch and draining into the persistent left superior vena cava. Physical examination revealed pulmonary hypertension and congestive heart failure. We performed closure of the fistula and left main coronary artery orifice and coronary artery bypass grafting. Postoperative computed tomography angiography showed patency of all grafts and progression of thrombosis in the dilated abnormal vessels.
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