The unstoppable heart: an aortocoronary fistula in coronary artery bypass grafting

Interact Cardiovasc Thorac Surg. 2018 Dec 1;27(6):912-913. doi: 10.1093/icvts/ivy179.

Abstract

This case report describes a coronary bypass surgery case in which cardioplegic arrest was impossible due to an aortacoronary fistula that was visualized using 3-dimensional computer tomography (CT) angiography postoperatively. Aortacoronary fistulas are protective in coronary artery disease but can severely complicate cardiac surgery and might require CT imaging in the preoperative workup.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical / methods
  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery*
  • Aortic Diseases / complications
  • Aortic Diseases / diagnosis
  • Aortic Diseases / surgery*
  • Computed Tomography Angiography
  • Coronary Angiography
  • Coronary Artery Bypass / methods*
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / surgery*
  • Coronary Stenosis / diagnosis
  • Coronary Stenosis / surgery
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery*
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Middle Aged
  • Multidetector Computed Tomography
  • Vascular Fistula / complications
  • Vascular Fistula / diagnosis
  • Vascular Fistula / surgery*