Document Detail

Surgical treatment of coronary-to-pulmonary fistula: how and when?
MedLine Citation:
PMID:  17151821     Owner:  NLM     Status:  MEDLINE    
Coronary arteriovenous fistulas (CAVF) are rare malformations. Opinions vary on which operation should be offered to these patients, particularly those asymptomatic. We report four patients operated on for CAVF referred to our institution over the course of a year. Three patients had associated cardiac lesions. In all of them CAVF was identified and closed with running sutures. There was no operative mortality or operative morbidity. All patients were asymptomatic at follow-up. In patients undergoing surgical treatment of cardiac disease, associated CAVF should always be treated. Although in patients with giant CAVF it is safer to patch the outflow of CAVF from the outflow chamber, in the majority of cases CAVF should be identified intraoperatively and closed with multiple running stitches.
Francesco Onorati; Pasquale Mastroroberto; Massimo Bilotta; Lucia Cristodoro; Antonio Esposito; Francesco Pezzo; Attilio Renzulli
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-09-29
Journal Detail:
Title:  Heart and vessels     Volume:  21     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-12-07     Completed Date:  2007-03-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  321-4     Citation Subset:  IM    
Cardiac Surgery Unit, University of Magna Graecia, Catanzaro, Italy.
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MeSH Terms
Arterio-Arterial Fistula / radiography,  surgery*
Coronary Angiography
Coronary Vessel Anomalies / radiography,  surgery*
Coronary Vessels / surgery*
Middle Aged
Pulmonary Artery / radiography,  surgery*

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