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Thorac Cardiovasc Surg Rep 2013; 02(01): 002-005
DOI: 10.1055/s-0033-1348062
Cardiac Surgery
Georg Thieme Verlag KG Stuttgart · New York

Successful Treatment of a Dilated Circumflex Artery and Coronary Sinus Fistula

Alexander Martin Bernhardt
1   Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany
,
Helmut Gulbins
1   Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany
,
Hermann Reichenspurner
1   Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany
› Author Affiliations
Further Information

Publication History

06 February 2013

07 May 2013

Publication Date:
16 July 2013 (online)

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Abstract

Coronary arteriovenous fistula is a rare entity and is mostly diagnosed and corrected in early childhood. We report the case of a 59-year-old female patient who was presented with chest pain during exertion for 3 months because of an aneurysmatic circumflex artery and coronary sinus fistula. We successfully ligated the circumflex artery close to the main stem and to the coronary sinus. The first marginal branch was revascularized by the left internal thoracic artery. The postoperative course was uneventful.

Keywords

fistula - coronary sinus - circumflex artery - coronary artery aneurysm - CABG
 

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