[A case of bilateral coronary artery fistulae into main pulmonary artery]
S Sasano1, T Itaoka, H Kaguraoka
1Department of Surgery I, Tokyo Women's Medical College, Japan.
Abstract:
A case of coronary-pulmonary artery fistulae was presented with the review of the literature. A 46-year-old man was admitted to our department with an ischemic change in leads III, a VF on ECG. Although he had no complaint, the exercise ECG showed significant depression of ST segment in leads II, III, V4, V5. Coronary angiography revealed fistulae from left anterior descending branch to main pulmonary artery, and also from right coronary artery to main pulmonary artery. No coronary organic narrowing were found. Ligation of the fistulae was performed and postoperative course was uneventful.
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