Document Detail


Progressive Coronary Artery-Pulmonary Artery Fistula After Size-Mismatch Cardiac Transplantation.
MedLine Citation:
PMID:  21508827     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Patients who have undergone cardiac transplantation are occasionally complicated by the development of a coronary artery fistula. It has been reported that a majority of coronary artery fistulas in a post-heart transplant setting communicate with the right ventricle. Moreover, most had a favorable prognosis and were rarely associated with hemodynamic disorder. In contrast, the present report describes a case with a progressive coronary artery fistula that drained into the pulmonary artery in a Japanese male who underwent size-mismatch orthotopic cardiac transplantation from a white male donor. The fistula gradually enlarged and a left-to-right shunt deteriorated over a 5-year period after transplantation. In this case, because the coronary fistula drained into the pulmonary artery, endomyocardial biopsy was not considered as a possible cause of the fistula. It is conceivable that size-mismatch heart transplantation may be associated with the development of fistula.
Authors:
Takumi J Matsubara; Hiroshi Iwata; Taro Shiga; Masaru Hatano; Atsushi Yao; Minoru Ono; Koichiro Kinugawa; Yasunobu Hirata; Ryozo Nagai
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-19
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  -     ISSN:  1538-943X     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Departments of *Cardiovascular Medicine and †Cardiovascular Surgery, University of Tokyo Hospital, Tokyo, Japan.
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