eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
3/2013
vol. 9
 
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abstract:

New methods in diagnosis and therapy
Optimal treatment of coronary-to-pulmonary artery fistula: surgery, coil or stent graft?

Paulina Wejner-Mik, Piotr Lipiec, Jan Zbigniew Peruga, Ryszard Jaszewski, Witold Pawłowski, Jarosław Kasprzak

Postep Kardiol Inter 2013; 9, 3 (33): 282–285
Online publish date: 2013/09/16
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We report a case of a 57-year-old man with typical angina due to a coronary artery-to-pulmonary artery fistula, which was evident on transthoracic and transesophageal echocardiography with color Doppler flow mapping. The diagnosis was confirmed by coronary angiography. The patient underwent surgical ligation of the fistula. However, repeated transesophageal echocardiography and coronary angiography revealed persistence of the fistula with significant left-to-right shunt. The orifice of the fistula was then obliterated by stent-graft implantation, which was proven successful by angiography and echocardiography.
keywords:

coronary artery-to-pulmonary artery fistula, stent-graft implantation

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