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The heart surgery forum · Jun 2009
Case ReportsA rare combination of left main coronary artery fistula to main pulmonary artery with severe left main coronary artery disease in a 69-year-old man.
- Tunay Sentürk, Bülent Ozdemir, Gökhan Bilgili, Dilek Yeşilbursa, and Osman Akin Serdar.
- Department of Cardiology, Uludağ University School of Medicine, Görükle, Bursa, Turkey. tunaysenturk@hotmail.com
- Heart Surg Forum. 2009 Jun 1; 12 (3): E180-1.
AbstractA 69-year-old man was referred to our hospital with a diagnosis of non-ST elevation myocardial infarction. A selective left coronary angiography revealed a fistula connecting the left main coronary artery with the pulmonary artery in addition to severe left main coronary artery disease. The patient subsequently underwent ligation of fistulae and coronary bypass grafting. The combination of a fistula and severe artery disease seen in this patient is unusual because fistulas originating from the left main coronary artery drain into the pulmonary artery in patients with severe left main coronary artery disease.
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