Repairing Bilateral Coronary-Pulmonary Artery Fistulas During Coronary Artery Bypass Grafting.

Authors

Alexander L. Chen, Corewell Health Resident
Alessandro Vivacqua, Corewell Health
Jeffrey M. Altshuler, Corewell Health
Francis L. Shannon, Corewell Health
Rajesh C. Gulati, Corewell Health
Thomas A. Schwann, Corewell Health
Bogdan A. Kindzelski, Corewell Health

Document Type

Article

Publication Date

3-29-2024

Publication Title

Annals of Thoracic Surgery Short Reports

Abstract

Coronary-pulmonary artery fistulas (CPAFs) are rare entities that can cause significant left-to-right shunting and complicate routine coronary artery bypass grafting. There are no best practice guidelines and a scarcity of reports regarding concomitant treatment of CPAF with coronary artery disease. We present a case of bilateral CPAFs in a 60-year-old man with symptomatic coronary artery disease treated successfully with coronary artery bypass, epicardial ligation, and transpulmonary closure of CPAF with patch reconstruction. This case highlights the importance of optimal myocardial protection and complete closure of the fistula to prevent risk of coronary steal.

Volume

2

Issue

3

First Page

394

Last Page

396

Recommended Citation

Chen AL, Vivacqua A, Altshuler JM, Shannon FL, Gulati RC, Schwann TA, et al. [Kindzelski BA]. Repairing bilateral coronary-pulmonary artery fistulas during coronary artery bypass grafting. Ann Thorac Surg Short Rep. 2024 Mar 29;2(3):394-396. doi: 10.1016/j.atssr.2024.03.002. PMID: 39790375.

DOI

10.1016/j.atssr.2024.03.002

ISSN

2772-9931

PubMed ID

39790375