Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Surgical Treatment of Bilateral Coronary to Pulmonary Artery Fistulae with a Saccular Aneurysm - A case report -

동맥류를 동반한 양측성 관상동맥-폐동맥루의 외과적 교정 - 1예 보고 -

  • Kim, Sang-Ik (Department of Thoracic and Cardiovascular Surgery, Ulsan General Hospital) ;
  • Kim, Byung-Hun (Department of Thoracic and Cardiovascular Surgery, Ulsan General Hospital) ;
  • Noh, Jeong-Sup (Department of Anesthesia, Ulsan General Hospital)
  • Published : 2007.12.05
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Abstract

A 76-year-old woman with a history of chest pain and palpitation, was diagnosed with bilateral coronary to pulmonary artery fistulae with a concomitant saccular aneurysm, which is quite rare. Suture closure of the fistular vessels around the pulmonary artery root, the removal of a saccular aneurysm, and the transpulmonary closure of coronary to pulmonary artery fistulae were performed. The patient was well at 4 months after surgery.

흉부 압박감과 심계항진, 흉통을 주소로 내원한 76세 여자 환자로 동맥류를 동반한 양측성 관상동맥-폐동맥루로 진단되었다. 수술은 심폐우회 및 심정지하에 이루어 졌는데 주폐동맥 주변의 동정맥루 혈관 및 동맥류 절제 그리고 폐동맥 내부에서 동정맥루의 출구를 봉합하였다. 술 후 결과는 양호하였으며 문헌고찰과 함께 보고한다.

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References

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