| A Case of a Coronary Arteriovenous
Fistula Associated with a Right Single Coronary Artery |
(Department of Cardiovascular Surgery, Jikei University
School of Medicine, Tokyo, Japan and Department of Cardiovascular
Surgery, Tokyo Women’s Medical University*, Tokyo, Japan)
| Katsushi Kinouchi |
Hiromi Kurosawa* |
Kiyozo Morita |
| Koji Nomura |
Hirokuni Naganuma |
Youkou Matsumura |
|
A 3-year-old girl was given a diagnosis
of coronary arteriovenous fistula associated with a single right
coronary artery on cardiac catheterization. The left coronary
artery arose from the proximal part of the right coronary artery.
The dilated left coronary artery ran in front of the right ventricular
outflow tract and then divided into the left anterior descending
branch and the left circumflex artery. A coronary arteriovenous
fistula was in the left main coronary artery and opened into
the right ventricular outflow tract. Under cardiopulmonary bypass
and cardiac arrest, a transverse incision was made at the right
ventricular outflow tract 1cm below the dilated vessel and the
5-mm oval-shaped orifice of the fistula was identified. This
fistula was closed with a pledgetted mattress suture reinforced
with over-and-over suture. Catheterization 8 months after surgery
demonstrated no residual shunt and she has been doing well.
Jpn. J. Cardiovasc. Surg. 33: 252-254 (2004) |
|
