The presence of a coronary arteriovenous fistula is almost rare in the adult population, even rare when associated with aortic valve insufficiency. Management and treatment options can vary and depend on a single patient. In our case, a large fistula with a rounded origin started from the roof of the left main stem, just attached to the wall of the aortic root, and finished with a very narrowed end in the pulmonary trunk. Due to its anatomical position and to the potential complications related to a proximal surgical closure as well as the incidental discovery in adult age (without signs or symptoms until the operation), we decided to have a conservative approach, leaving untouched the fistula. No intraoperative, perioperative, and follow-up signs of myocardial ischemia were observed.

Images in cardiovascular medicine voluminous left main stem to pulmonary artery fistula: A conservative approach / Botta L.; Amodio C.; Savini C.; Pacini D.. - In: JOURNAL OF CARDIAC SURGERY. - ISSN 0886-0440. - STAMPA. - 35:5(2020), pp. 1098-1099. [10.1111/jocs.14483]

Images in cardiovascular medicine voluminous left main stem to pulmonary artery fistula: A conservative approach

Amodio C.;Savini C.;Pacini D.
2020

Abstract

The presence of a coronary arteriovenous fistula is almost rare in the adult population, even rare when associated with aortic valve insufficiency. Management and treatment options can vary and depend on a single patient. In our case, a large fistula with a rounded origin started from the roof of the left main stem, just attached to the wall of the aortic root, and finished with a very narrowed end in the pulmonary trunk. Due to its anatomical position and to the potential complications related to a proximal surgical closure as well as the incidental discovery in adult age (without signs or symptoms until the operation), we decided to have a conservative approach, leaving untouched the fistula. No intraoperative, perioperative, and follow-up signs of myocardial ischemia were observed.
2020
Images in cardiovascular medicine voluminous left main stem to pulmonary artery fistula: A conservative approach / Botta L.; Amodio C.; Savini C.; Pacini D.. - In: JOURNAL OF CARDIAC SURGERY. - ISSN 0886-0440. - STAMPA. - 35:5(2020), pp. 1098-1099. [10.1111/jocs.14483]
Botta L.; Amodio C.; Savini C.; Pacini D.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/806084
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