| An Operative Case
of Right Coronary Artery Fistula Communicated to the Left Atrium |
(Department of Cardiovascular Surgery, Hamamatsu
Medical Center, Hamamatsu, Japan)
| Chiaki Kondo |
Hitoshi Kusagawa |
Hiroshi Hata |
|
We report a very rare case of a
coronary artery fistula with communication between the right
coronary artery and the left atrium. The patient was a 45 year-old
woman admitted for evaluation of heart murmur. Selective coronary
angiography demonstrated right coronary artery-left atrial fistula.
The operation was indicated due to volume overload of the left
ventricle. At operation, the proximal portion of the coronary
fistula was successfully ligated from the epicardial side and
the entrance of the fistula into the left atrium was directly
closed from the inside of the left atrium under the cardiopulmonary
bypass. The post-operative course was uneventful. Post-operative
coronary angiography showed disappearance of the fistula. Angiography
6 months later, demonstrated that the orifice of the right coronary
artery remained dilated, while the diameter of the distal site
was normalized.
Jpn. J. Cardiovasc. Surg. 29: 41-44 (2000) |
|
