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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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          Author and article information

          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
          Affiliations
          [1 ] Department of Cardiovascular Surgery, Sapporo Chuo Hospital, Sapporo, Hokkaido, Japan.
          Article
          atcs/2009_15_1/50
          19262451
          c67f2cdb-1597-4399-8ac6-d48b7b5274c1
          History

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