Off-pump resection of a coronary arterial fistula using the Harmonic Scalpel |
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| Authors: | Hiroshi Ohuchi Masataka Hatanaka Keiko Abe and Shogo Yatsu |
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| Institution: | Department of Cardiovascular Surgery, Toda Chuo General Hospital, Toda, Saitama, Japan. |
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| Abstract: | Off-pump surgery was performed in a patient with post-infarction angina complicated with aneurysmal coronary-pulmonary arterial fistula. Epicardial echocardiography localized the artery feeding the fistula in the myocardium, which had not been revealed by visual inspection, palpation, or transesophageal echocardiography. The patient underwent off-pump coronary artery bypass grafting concomitant with aneurysmectomy. The feeding arteries were dissected easily using a Harmonic Scalpel and ligated. The flow in the aneurysm disappeared immediately and aneurysmectomy was performed without bleeding. |
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| Keywords: | off-pump coronary arterial fistula Harmonic Scalpel |
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