Coronary-Pulmonary Artery Fistula Provides Collateral Flow to an Occluded Left Anterior Descending Artery

Baku Takahashi; Hideyuki Fumoto; Yoshihiro Nakayama

doi:10.3400/avd.cr.23-00113

この記事には本公開記事があります。本公開記事を参照してください。
引用する場合も本公開記事を引用してください。

Coronary-Pulmonary Artery Fistula Provides Collateral Flow to an Occluded Left Anterior Descending Artery

Baku Takahashi , Hideyuki Fumoto, Yoshihiro Nakayama

著者情報

キーワード: coronary-pulmonary arterial fistula, coronary artery bypass grafting, collateral flow

ジャーナルオープンアクセス早期公開

論文ID: cr.23-00113

DOI https://doi.org/10.3400/avd.cr.23-00113

この記事には本公開記事があります。

The final version of this article is now available: Vol. 17 (2024), No. 3 pp. 301-303

詳細

抄録

A 59-year-old man presented with angina. Coronary angiography revealed an occlusion in the proximal left anterior descending artery (LAD), the distal segment of which was supplied by the collateral flow of a coronary-pulmonary arterial fistula (CPAF), originating from the right coronary artery and left sinus of Valsalva. Myocardial scintigraphy revealed ischemia in the anteroseptal region. Coronary artery bypass surgery was performed on the LAD, and the CPAF drains were closed. The CPAF may serve as collateral circulation. Even when CPAF serves as collateral circulation, open surgery could be indicated if the collateral flow is insufficient and the structure is complicated.

責任著者(Corresponding author)

J-STAGEへの登録はこちら（無料）