Document Detail

Surgical correction of congenital left coronary artery-main pulmonary artery fistula in association with anomalous right coronary artery.
MedLine Citation:
PMID:  125368     Owner:  NLM     Status:  MEDLINE    
The association of a left coronary artery-main pulmonary artery fistula and an anomalous right coronary artery originating from the main pulmonary artery is the subject of this report. This unique combination of congenital cardiac anomalies establishes a double coronary steal from the left coronary artery, which hemodynamically represents the sole source of myocardial perfusion. The left coronary artery-main pulmonary artery fistula was closed and the coexisting anomalous right coronary artery reimplanted into the anterior aspect of the ascencing aorta. A dual coronary supply was therefore established and thus eliminated the potential threat of total myocardial ischemia should the left coronary artery become critically compromised. Patency of both the left coronary artery and the transplanted right coronary artery was documented 1 year postoperatively by aortic root angiography.
R A Achtel; B L Zaret; A B Iben; E J Hurley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  70     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1975 Jul 
Date Detail:
Created Date:  1975-10-21     Completed Date:  1975-10-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  46-51     Citation Subset:  AIM; IM    
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MeSH Terms
Arteriovenous Fistula / surgery*
Arteriovenous Malformations / diagnosis
Blood Pressure
Blood Volume
Cardiomegaly / etiology
Coronary Circulation
Coronary Vessel Anomalies / diagnosis,  surgery*
Heart Catheterization
Heart Murmurs
Heart Sounds
Oxygen Consumption
Pulmonary Artery / abnormalities*,  surgery

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

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