A Surgical Case of Coronary Pulmonary Artery Fistula with Direct Measurement of the Shunt Flow

DOI Web Site 13 References
  • Yasumura Hiroto
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University
  • Mukaihara Kosuke
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University
  • Shiramomo Yuta
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University
  • Kawaida Keisuke
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University
  • Kanda Hideaki
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University
  • Toyokawa Kenji
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University
  • Imagama Itsumi
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University
  • Matsumoto Kazuhisa
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University
  • Tao Koji
    Department of Cardiovascular Surgery, National Hospital Organization Kagoshima Medical Center
  • Soga Yoshiharu
    Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, 
Kagoshima University

Bibliographic Information

Other Title
  • シャント血流量を直接計測し得た冠動脈–肺動脈瘻の1手術例
Published
2025-01-10
DOI
  • 10.7133/jca.24-00030
Publisher
Japanese College of Angiology

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<p>A 71-year-old woman was referred to our hospital due to left ventricular dysfunction and a coronary pulmonary artery fistula with heart failure symptoms. She underwent on-pump beating heart surgery, including direct closure of the fistula, coronary artery bypass grafting, and left ventricular biopsy. We also obtained the direct measurement of the fistula flow, which was continuous-like flow of 43 mL per minute and a pulsatility index of 0.3. Following surgery, the heart failure symptoms and left ventricular dysfunction improved. There have not been reports which described the direct measurement of the fistula flow of coronary pulmonary artery fistula. Herein, we report this case along with a literature review.</p>

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