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Myocardial ischemia due to radical resection of complex coronary fistulas with giant aneurysms: a case report

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A Correction to this article was published on 04 June 2021

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Abstract

A 56-year-old man underwent surgery for complex coronary artery fistulas with giant coronary aneurysms. This treatment resulted in complications and caused myocardial ischemia of the right ventricular outflow tract, resulting in repeated ventricular fibrillations. The irritability caused by this fetal arrhythmia was improved by the placement of an intra-aortic balloon pump. The case findings suggest that even careful resection of complex coronary fistulas could precipitate myocardial ischemia.

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References

  1. Verdini D, Vargas D, Kuo A, Ghoshhajra B, Kim P, Mulliro H, et al. Coronary-pulmonary artery fistulas: a systematic review. J Thorac Imaging. 2016;31:380–90.

    Article  Google Scholar 

  2. Mangukia CV. Coronary artery fistula. Ann Thorac Surg. 2012;93:2084–92.

    Article  Google Scholar 

  3. Cheung DL, Au WK, Cheung HH, Chiu CS, Lee WT. Coronary artery fistulas: long-term results of surgical correction. Ann Thorac Surg. 2001;71:190–5.

    Article  CAS  Google Scholar 

  4. Umemura M, Ho D, Nozawa N, Balginnyam E, Iwatsubo K, Saito T, et al. Acute myocardial infarction with isolated conus branch occlusion. J Electrocardiol. 2012;45:285–7.

    Article  Google Scholar 

  5. Kataoka H. Electrocardiographic patterns of the Brugada syndrome in right ventricular infarction/ ischemia. Am J Cardiol. 2000;86:1056.

    Article  CAS  Google Scholar 

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Acknowledgements

We are grateful to the patient for his willingness to allow the publication of this report.

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Correspondence to Satoru Maeba.

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The original online version of this article was revised due to remove incorrect ESM video file

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Maeba, S., Sunada, M., Ito, T. et al. Myocardial ischemia due to radical resection of complex coronary fistulas with giant aneurysms: a case report. Gen Thorac Cardiovasc Surg 69, 1247–1249 (2021). https://doi.org/10.1007/s11748-021-01642-0

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  • DOI: https://doi.org/10.1007/s11748-021-01642-0

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