Korean J Thorac Cardiovasc Surg.
2002 Jun;35(6):463-466.
Coronary Artery Fistula Associated with Atrial Septal Defect: Report of one case
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery,Chonbuk National University Medical School, Korea.
Abstract
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We present a case of coronary artery fistula originating from the proximal left anterior descending artery draining into the main pulmonary artery,which was associated with atrial septal defect.The patient was a 56 year old male who was admitted for exertional dyspnea and abdominal distension.Echocardiogram and selective coronary arteriogram revealed a atrial septal defect and fistulous connection.The patient underwent surgery under the cardiopulmonary bypass with fibrillating heart.The pericardial patch closure of atrial septal defect and internal obliteration of the fistula termination site in the main pulmonary artery were performed.Postoperative hospital courses were uneventful without any specific complication and the patient was discharged without problem.