The Importance of Preoperative Epicardial Imaging by Three-Dimensional Computed Tomography in Off-pump Cardiac Surgery for Coronary Artery Fistula with Coronary Aneurysm

Abstract

We surgically treated coronary artery fistula with 2 aneurysmal formations without cardiopulmonary bypass. Preoperative epicardial imaging suggested that ligation of both inflow and outflow of the coronary artery fistula was feasible. Preoperative understanding of anatomical relationships by 3D-CT imaging can be very useful in selection of surgical procedures.