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European Journal of Cardio-Thoracic Surgery, Vol 9, 106-108, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Surgical experience of coronary artery-right ventricular fistula in a heart transplant patient

N Uchida, E Baudet, X Roques, N Laborde and MA Billes
Department of Cardiovascular Surgery, Hopital Haut-Leveque, Bordeaux- Pessac, France.

Routine follow-up catheterization 4 years after heart transplantation in a 55-year-old revealed a fistula from the main left anterior descending artery (LAD) to the right ventricle. The left anterior descending artery was dilated and tortuous because of this fistula. As he had effort dyspnea and fatigue 3 months after this catheterization, we decided to operate on the fistula, and direct closure of this through the LAD and coronary artery bypass grafting from the proximal to distal LAD were performed. Surgery and the postoperative course were uneventful. We discuss the surgical indication and technique for coronary artery fistula acquired as a result of endomyocardial biopsy after heart transplantation.




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Copyright © 1995 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.