Coronary arteriovenous fistula draining into persistent left superior vena cava

Publication date: Available online 13 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Tomohito Kanzaki, Satoshi Numata, Sachiko Yamazaki, Hitoshi YakuAbstractA 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 the grafts and progression of thrombosis in the dilated abnormal vessels.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research