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A Fistula between Coronary and Main Pulmonary Arteries with Chest Tightness

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DOI: 10.4236/wjcs.2015.512021    2,907 Downloads   3,198 Views  

ABSTRACT

A 64-year-old woman presented to our facility with recurrent chest tightness. Angiography showed a dilated (10 mm) aneurysmal tortuous coronary artery fistula (CAF) to the main pulmonary arterial trunk occupying a large area of the anterior surface of the aortic root. Left and right heart catheterization showed high left-to-right shunt flow. Fissurectomy and coronary artery bypass grafting were performed. The patient had no postoperative complications and became asymptomatic. The outcome of our case shows that CAF should be a differential diagnosis of recurrent symptomatic cardiac ischemia. Intervention is indicated if symptoms or secondary complications develop.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Kawabori, M. and Kurata, A. (2015) A Fistula between Coronary and Main Pulmonary Arteries with Chest Tightness. World Journal of Cardiovascular Surgery, 5, 135-138. doi: 10.4236/wjcs.2015.512021.

References

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