Surgery for Aneurysmal Coronary Artery Fistulas to the Coronary Sinus in Adults

Gabriele M. Iacona, MD; Shrey Patel, MD; Faisal G. Bakaeen, MD; Hiba Ghandour, MD; Robert D. Stewart, MD; Lars G. Svensson, MD, PhD; Gösta B. Pettersson, MD, PhD; Douglas R. Johnston, MD

JACC: Case Reports (Dec 2022)

Surgery for Aneurysmal Coronary Artery Fistulas to the Coronary Sinus in Adults

Gabriele M. Iacona, MD,
Shrey Patel, MD,
Faisal G. Bakaeen, MD,
Hiba Ghandour, MD,
Robert D. Stewart, MD,
Lars G. Svensson, MD, PhD,
Gösta B. Pettersson, MD, PhD,
Douglas R. Johnston, MD

Affiliations

Gabriele M. Iacona, MD: Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA
Shrey Patel, MD: Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA
Faisal G. Bakaeen, MD: Address for correspondence: Dr Faisal G. Bakaeen, Cleveland Clinic, Heart, Vascular, and Thoracic Institute, Desk J4-1, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA.; Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA
Hiba Ghandour, MD: Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA
Robert D. Stewart, MD: Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA
Lars G. Svensson, MD, PhD: Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA
Gösta B. Pettersson, MD, PhD: Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA
Douglas R. Johnston, MD: Coronary Artery Bypass Surgery Center, Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA

Journal volume & issue: Vol. 4, no. 24
p. 101665

Abstract

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Surgical treatment of aneurysmal distal congenital coronary artery fistulas depends on size and anatomy. From 2008 to 2021, we applied a new surgical technique in 7 adult patients: proximal and distal fistula closure, opening of aneurysmal artery, and revascularization of branches rising from the fistula under cardiopulmonary bypass and cardiac arrest. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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