Coronary Arteriovenous Fistula Draining Into Persistent Left Superior Vena Cava.

Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE

Publication: Amsterdam : Elsevier
Original Publication: Boston.

Arteriovenous Fistula/*diagnosis ; Arteriovenous Fistula/*surgery ; Coronary Artery Disease/*diagnosis ; Vascular Malformations/*diagnosis ; Vascular Malformations/*surgery ; Vena Cava, Superior/*abnormalities; Aged ; Arteriovenous Fistula/complications ; Coronary Artery Disease/complications ; Coronary Artery Disease/surgery ; Female ; Humans ; Vascular Malformations/complications

A 75-year-old woman was referred to our hospital for dyspnea and edema of the lower limbs. Computed tomography angiography revealed a dilated left coronary artery from the left main trunk to the left circumflex branch and a dilated fistula originating from the left circumflex branch and draining into the persistent left superior vena cava. Physical examination revealed pulmonary hypertension and congestive heart failure. We performed closure of the fistula and left main coronary artery orifice and coronary artery bypass grafting. Postoperative computed tomography angiography showed patency of all grafts and progression of thrombosis in the dilated abnormal vessels.
(Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)

Date Created: 20190318 Date Completed: 20200116 Latest Revision: 20200116

20240829

10.1016/j.athoracsur.2019.01.082

30878458