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- Title
Iatrogenic coronary artery fistula that developed during septal myectomy was detected intraoperatively through transesophageal echocardiography.
- Authors
Uchiyama, Keita; Tsubokawa, Tsunehisa
- Abstract
This letter discusses the case of a 50-year-old man with obstructive hypertrophic cardiomyopathy (HOCM) who underwent a septal myectomy (the Morrow procedure). During the procedure, a coronary artery fistula was detected using transesophageal echocardiography (TEE) during terminal warm blood cardioplegia infusion. The TEE allowed for the intraoperative detection of the fistula, which was later confirmed to have closed spontaneously after the surgery. The authors emphasize the importance of TEE in detecting and assessing coronary artery fistulas during the Morrow procedure.
- Subjects
TRANSESOPHAGEAL echocardiography; CORONARY arteries; FISTULA; MUCOCUTANEOUS lymph node syndrome; MYOMECTOMY; IATROGENIC diseases
- Publication
JA Clinical Reports, 2024, Vol 10, Issue 1, p1
- ISSN
2363-9024
- Publication type
Case Study
- DOI
10.1186/s40981-024-00711-6