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Eur J Cardiothorac Surg 2002;21:86
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Coronary arteriovenous fistulas from both coronary arteries to pulmonary artery

Oktay Burmaa*, Ali Rahmana, Erdogan Ilkayb

a Department of Thoracic and Cardiovascular Surgery, Firat Medical Centre, Firat University, Elazi, Turkey
b Department of Cardiology, Firat Medical Centre, Firat University, Elazi, Turkey

Received 18 June 2001; accepted 12 September 2001.

* Corresponding author. Tel.: +90-424-238-80-80x137; fax: +90-424-233-50-38
e-mail: oburma{at}hotmail.com

A 47-year-old male patient has been suffering from chest pain. Two fistulas from proximal right coronary artery and left main coronary artery to pulmonary artery has been found in both coronary angiography (Fig. 1) and operation (Fig. 2). Fistula orifices were closed through pulmonary artery by using cardiopulmonary bypass.



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  		Fig. 1. Angiographic appearance of fistulas from right coronary artery (A) and left coronary artery (B) to pulmonary artery in right oblique position.

 


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  		Fig. 2. Intraoperative appearance of fistulas.

 



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Eur. J. Cardiothorac. Surg., February 1, 2007; 31(2): 318 - 319.
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