AI Article Synopsis
- Repairing coronary arteriovenous fistula (CAVF) requires careful interruption of the fistulous tract while preserving normal blood flow in the coronary vessels.
- In a specific case, imaging revealed the CAVF was closely located to the left anterior descending coronary artery (LAD) with a broad and short neck.
- The authors propose a combined method of antegrade and retrograde coronary perfusion that effectively protects heart tissue and differentiates between the normal artery and the fistulous tract.
Article Abstract
In repairing coronary arteriovenous fistula (CAVF), it is very important to interrupt the fistulous tract without compromise of normal coronary vessel flow. In our case, selective coronary arteriography showed that the CAVF from the left anterior descending coronary artery (LAD) was very close to the native coronary artery and had a very broad and short neck. We describe a simple and useful approach, by using both antegrade and retrograde coronary perfusion, that makes it possible to certainly protect myocardium and to clearly distinguish the normal native coronary artery from the fistulous tract.
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| http://dx.doi.org/10.1016/s1010-7940(01)00907-1 | DOI Listing |
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