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A Surgical Case of Symptomatic Coronary Artery-Pulmonary Artery Fistula

Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

For reprint information contact: Aya Saito, MD Tel: 81 3 5800 8654 Fax: 81 3 5684 3989 Email: ayasaitou-ths{at}umin.ac.jp, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.

We describe a 55-year-old female patient with multiple plexiform coronary artery-pulmonary artery fistulas, who presented with ischemic episodes accompanying an inversion of T wave on an electrocardiogram even though it was a small shunt size. The surgical procedure involved closure of the openings of the fistulas from inside the pulmonary trunk using cardiopulmonary bypass with additional ligations. Postoperative coronary angiogram revealed complete interruption of the coronary artery-pulmonary trunk fistulas resulting in complete resolution of the patient’s chest symptoms.

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