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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 8/2021

01-08-2021 | Computed Tomography | Case Report

Myocardial ischemia due to radical resection of complex coronary fistulas with giant aneurysms: a case report

Authors: Satoru Maeba, Masatoshi Sunada, Takuya Ito, Fumitaka Suzuki

Published in: General Thoracic and Cardiovascular Surgery | Issue 8/2021

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Abstract

A 56-year-old man underwent surgery for complex coronary artery fistulas with giant coronary aneurysms. This treatment resulted in complications and caused myocardial ischemia of the right ventricular outflow tract, resulting in repeated ventricular fibrillations. The irritability caused by this fetal arrhythmia was improved by the placement of an intra-aortic balloon pump. The case findings suggest that even careful resection of complex coronary fistulas could precipitate myocardial ischemia.
Literature
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Verdini D, Vargas D, Kuo A, Ghoshhajra B, Kim P, Mulliro H, et al. Coronary-pulmonary artery fistulas: a systematic review. J Thorac Imaging. 2016;31:380–90.CrossRef
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Cheung DL, Au WK, Cheung HH, Chiu CS, Lee WT. Coronary artery fistulas: long-term results of surgical correction. Ann Thorac Surg. 2001;71:190–5.CrossRef
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Umemura M, Ho D, Nozawa N, Balginnyam E, Iwatsubo K, Saito T, et al. Acute myocardial infarction with isolated conus branch occlusion. J Electrocardiol. 2012;45:285–7.CrossRef
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Kataoka H. Electrocardiographic patterns of the Brugada syndrome in right ventricular infarction/ ischemia. Am J Cardiol. 2000;86:1056.CrossRef
Metadata
Title
Myocardial ischemia due to radical resection of complex coronary fistulas with giant aneurysms: a case report
Authors
Satoru Maeba
Masatoshi Sunada
Takuya Ito
Fumitaka Suzuki
Publication date
01-08-2021
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 8/2021
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-021-01642-0

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