Coronary artery to pulmonary artery fistula with dual origin - embryological, clinical and surgical significance
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作者:
Vaidyanathan, Karthik Ramakrishnan
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Int Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, IndiaInt Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, India
Vaidyanathan, Karthik Ramakrishnan
[1
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Theodore, Sanjay A. C.
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Int Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, IndiaInt Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, India
Theodore, Sanjay A. C.
[1
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Sankar, Madhu Nainar
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Int Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, IndiaInt Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, India
Sankar, Madhu Nainar
[1
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Cherian, Kotturathu Mammen
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Int Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, IndiaInt Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, India
Cherian, Kotturathu Mammen
[1
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[1] Int Ctr CardioThorac & Vasc Dis, Dept Cardiac Surg, Madras 600101, Tamil Nadu, India
Coronary artery fistulae are rare anomalies encountered in 0.1-0.2% of angiographic series. We recently encountered a patient evaluated for mitral valve disease who incidentally had bilateral coronary artery fistulae detected on preoperative angiogram. These fistulae drained into the pulmonary artery. She underwent successful transpulmonary closure of the fistula along with mitral valve repair. We discuss the embryological basis of this anomaly and the clinical as well as surgical significance. (c) 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.