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Updated: Jun 11, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Coronary-Pulmonary Artery Fistula Provides Collateral Flow to an Occluded Left Anterior Descending Artery

Baku Takahashi1, Hideyuki Fumoto1, Yoshihiro Nakayama1

  • 1Department of Cardiovascular Surgery, Osumi-Kanoya Hospital, Kanoya, Kagoshima, Japan.

Annals of Vascular Diseases
|October 3, 2024
PubMed

Insights

A coronary-pulmonary arterial fistula (CPAF) provided collateral circulation to an occluded artery, but surgery was needed due to insufficient flow. This case highlights surgical indications for complex CPAFs.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Medical Imaging

Background:

  • Coronary artery disease (CAD) can lead to myocardial ischemia.
  • Coronary-pulmonary arterial fistulas (CPAFs) are rare anomalies.
  • CPAFs can sometimes act as collateral circulation pathways.

Keywords:
collateral flowcoronary artery bypass graftingcoronary-pulmonary arterial fistula

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