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Updated: Oct 1, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

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[A Useful Case of Coronary Angiography during Surgery for Coronary Aneurysms:Report of a Case]

Hideo Morita1, Hironaga Siraki, Atushi Kawakami

  • 1Department of Cardiovascular Surgery, Uji Tokushukai Hospital, Uji, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|March 7, 2022
PubMed

Insights

Coronary artery aneurysms with fistula are rare but treatable. Intraoperative coronary angiography effectively confirms complete closure of fistulae and prevents residual issues, ensuring patient safety.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Diagnostic Imaging

Background:

  • Coronary artery aneurysm with fistula is a rare condition.
  • Residual coronary fistulas post-surgery pose a significant challenge.

Observation:

  • A 70-year-old woman presented with palpitations.
  • Enhanced CT revealed coronary aneurysms; angiography confirmed a fistula to the pulmonary artery.

Findings:

  • Surgical ligation and resection of fistulae and aneurysms were performed in a hybrid operating room.
  • Intraoperative coronary angiography confirmed successful treatment, with no residual shunts or coronary artery damage.

Implications:

  • Intraoperative coronary angiography is crucial for verifying complete fistula closure and assessing coronary artery integrity.
  • This technique enhances surgical outcomes for coronary artery aneurysms with fistulas.

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