An Operative Case of Coronary Artery-Pulmonary Artery Fistula after Unsuccessful Coil Embolization.
10.4326/jjcvs.28.192
- VernacularTitle:Ｃｏｉｌ ｅｍｂｏｌｉｚａｔｉｏｎが有効でなかった冠動脈肺動脈ろうの１手術治験例
- Author:
Yoshihiro Koh
;
Tadashi Okubo
;
Ryouhei Hoshino
;
Yoshiyuki Kamigaki
;
Shingo Ouchi
- Publication Type:Journal Article
- Keywords:
coil embolization;
fistula;
catheter intervention
- From:Japanese Journal of Cardiovascular Surgery
1999;28(3):192-196
- CountryJapan
- Language:Japanese
-
Abstract:
A 59-year-old man has had a heart murmur for a long time. Four years previously coronary artery-pulmonary artery fistula was diagnosed as the cause of arrhythmia, by coronary angiogram. Despite two coil embolizations some fistulae recanalized and dilated. The coronary artery connected with the main pulmonary trunk and a part of plexiform angioma on the right ventricule outflow tract. Under heart beating, we ligated the origin of each fistulae with direct closure of the ostia from inside pulmonary artery. His symptoms finally improved.
