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.
Similar content being viewed by others
Change history
04 June 2021
A Correction to this paper has been published: https://doi.org/10.1007/s11748-021-01660-y
References
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.
Mangukia CV. Coronary artery fistula. Ann Thorac Surg. 2012;93:2084–92.
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.
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.
Kataoka H. Electrocardiographic patterns of the Brugada syndrome in right ventricular infarction/ ischemia. Am J Cardiol. 2000;86:1056.
Acknowledgements
We are grateful to the patient for his willingness to allow the publication of this report.
Funding
No external funding was secured for the report.
Author information
Authors and Affiliations
Contributions
All authors approved the manuscript to be published and agree to be accountable for all aspects of the report.
Corresponding author
Ethics declarations
Conflict of interest
None declared.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The original online version of this article was revised due to remove incorrect ESM video file
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-021-01642-0