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Successful surgical repair of a bilateral coronary-to-pulmonary artery fistula.

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      Abstract

      A 58-year-old woman was admitted to our department for evaluating an abnormal blood flow in the main pulmonary artery by transthoracic echocardiography. Coronary angiography revealed the presence of fistulas originating from the left anterior descending artery and also the right coronary artery to the main pulmonary artery. Under cardiopulmonary bypass, both fistulas were ligated near the origin, and direct closure of drainage site in the main pulmonary artery was performed. The postoperative course was uneventful, and coronary angiography after surgery showed that the coronary-to-pulmonary artery fistulas (CPAFs) disappeared. We report a surgical repair of a bilateral CPAF because the cardiac anomaly is extremely rare.

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      Affiliations
      [1 ] Department of Cardiovascular Surgery, Sapporo Chuo Hospital, Sapporo, Hokkaido, Japan.
      Journal
      Ann Thorac Cardiovasc Surg
      Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
      2186-1005
      1341-1098
      Feb 2009
      : 15
      : 1
      19262451
      atcs/2009_15_1/50

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