Rupture of Aneurysmal Circumflex Coronary Artery Into the Left Atrium After Ligation of Its Arteriovenous Fistula
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概要
- 論文の詳細を見る
Aneurysmal circumflex coronary artery (Cx) with fistulous connection to the coronary sinus is a rare clinical entity that usually remains asymptomatic until later in life, so the ideal therapeutic strategy is poorly defined. The timing of surgical treatment for asymptomatic patients is a big issue, and whether to leave or exclude the diffuse aneurysm in addition to ligation of the fistula is controversial, considering the native myocardial circulation. Complete surgical repair, including exclusion of a diffusely aneurysmal Cx and coronary revascularization to a graftable branch in the circumflex area combined with ligation of its fistula, is quite challenging and sometimes fatal because of a broad posterolateral myocardial infarction without revascularization caused by a lack of graftable branches. A case of diffuse aneurysmal Cx, which ruptured into the left atrium after surgical ligation of its fistulous connection to the coronary sinus, is presented. Simple ligation of the fistula, leaving a gigantic aneurysmal circumflex artery, is hazardous for later rupture and should be avoided. Therapeutic strategies for this complex disorder are discussed, including the optimal timing of surgical treatment.
- 社団法人日本循環器学会の論文
- 2007-11-20
著者
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NAKAHIRA Atsushi
Department of Materials Science, Graduate School of Engineering, Osaka Prefecture University
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TAKAHASHI Yosuke
Department of Cardiovascular Surgery, Fukui Cardiovascular Center
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Kataoka Toru
Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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Fukui Toshihiro
Department of Cardiovascular Surgery, Sakakibara Heart Institute
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Oe Hiroki
Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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HIRAI Hidekazu
Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine
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SASAKI Yasuyuki
Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine
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SUEHIRO Shigefumi
Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine
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Hirai Hidekazu
Department Of Cardiovascular Surgery Osaka City University Graduate School Of Medicine
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Hirai Hidekazu
Department Of Cardiovascular Sugery Osaka City University Graduate School Of Medicine
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Motoki Manabu
Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine
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Sasaki Yasuyuki
Department Of Cardiovascular Surgery Osaka City University Graduate School Of Medicine
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Motoki Manabu
Department Of Cardiovascular Surgery Osaka City University Graduate School Of Medicine
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Nakahira Atsushi
Department Of Cardiovascular Surgery Osaka City University Graduate School Of Medicine
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Yasuoka Takashi
Department Of Cardiovascular Surgery Kansai Rousai Hospital
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Sasaki Yasuyuki
Department Of Animal Science Faculty Of Agriculture Tohoku University
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Fukui Toshihiro
Department Of Cardiovascular Surgery Osaka City University Graduate School Of Medicine
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Fukui Toshihiro
Department Of Cardiovascular Surgery Bell Land General Hospital
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Takahashi Yosuke
Department Of Cardiovascular Surgery Osaka City University Graduate School Of Medicine
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Takahashi Yosuke
Department Of Cardiovascular Surgery Fukui Cardiovascular Center
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Suehiro Shigefumi
Department Of Cardiovascular Surgery Graduate School Of Medicine Osaka City University
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Suehiro Shigefumi
The Second Department Of Surgery And Department Of Cardiovascular Surgery Osaka City University Medi
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Sasaki Yasuyuki
Department Of Animal Husbandry Faculty Of Agriculture Tohoku University
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Sasaki Yasuyuki
Department Af Animal Husbandry Faculty Of Agriculture Tohoku University
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Suehiro Shigefumi
The Second Department Of Surgery And Department Of Cardiovascular Surgery Osaka City University Medi
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