HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Aya Saito Minoru Ono Noboru Motomura Yasutaka Hirata Tetsuro Morota Shinichi Takamoto Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Saito, A. Articles by Takamoto, S. Search for Related Content PubMed PubMed Citation Articles by Saito, A. Articles by Takamoto, S. Related Collections Coronary disease

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.