Document Detail

Coronary-pulmonary arteriovenous fistula used as proximal anastomotic site for saphenous vein grafts in patient with porcelain aorta.
MedLine Citation:
PMID:  12809259     Owner:  NLM     Status:  MEDLINE    
Coronary artery bypass grafting in patients with porcelain aorta and calcified great vessels is associated with a high risk of systemic embolism. Various techniques have been suggested to minimize that risk. We describe the case of a patient with left main coronary disease and a severely calcified ascending aorta, who could not undergo cardiopulmonary bypass. To the best of our knowledge, this is the 1st reported use of a congenital coronary-pulmonary arteriovenous fistula as a proximal anastomotic site for saphenous vein grafts, to achieve optimal revascularization in a patient with porcelain aorta.
Aaron S L Wong; Yeow-Leng Chua; Charles N S Chan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  30     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2003  
Date Detail:
Created Date:  2003-06-17     Completed Date:  2003-10-02     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  143-5     Citation Subset:  IM    
Department of Cardiovascular Medicine, National Heart Centre, Singapore.
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MeSH Terms
Anastomosis, Surgical / methods
Aorta / pathology*
Arteriovenous Fistula*
Calcinosis / complications
Coronary Artery Bypass / methods*
Coronary Disease / complications,  surgery*
Coronary Vessel Anomalies / complications*,  radiography*
Saphenous Vein / transplantation
Comment In:
Tex Heart Inst J. 2003;30(3):248-9   [PMID:  12959215 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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