Percutaneous Transfemoral Coronary Arteriography; Prevention of Morbid Complications

Harry L. Page; W. Barton Campbell

doi:10.1378/chest.67.2.221

Percutaneous Transfemoral Coronary Arteriography; Prevention of Morbid Complications

CHEST Journal ◽

10.1378/chest.67.2.221 ◽

1975 ◽

Vol 67 (2) ◽

pp. 221-225 ◽

Cited By ~ 20

Author(s):

Harry L. Page ◽

W. Barton Campbell

Keyword(s):

Coronary Arteriography

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Segregation Analysis of HDL 3 -C Levels in Families of Patients Undergoing Coronary Arteriography at an Early Age

Arteriosclerosis Thrombosis and Vascular Biology ◽

10.1161/01.atv.15.9.1307 ◽

1995 ◽

Vol 15 (9) ◽

pp. 1307-1313 ◽

Cited By ~ 4

Author(s):

J. Coresh ◽

T.H. Beaty ◽

V.L. Prenger ◽

J. Xu ◽

P.O. Kwiterovich

Keyword(s):

Segregation Analysis ◽

Coronary Arteriography ◽

Early Age

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Mitral Re-Repair and Right Coronary Fistula Closure Advantage of Minimally Invasive Approach

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1177/155698451000500614 ◽

2010 ◽

Vol 5 (6) ◽

pp. 456-459 ◽

Cited By ~ 1

Author(s):

Vincenzo Giordano ◽

Jan G. Grandjean

Keyword(s):

Mitral Valve ◽

Right Atrium ◽

Mild Hypothermia ◽

Posterior Wall ◽

Coronary Arteriography ◽

Coronary Fistula ◽

Invasive Approach ◽

Concomitant Procedure ◽

Echocardiographic Images ◽

The Right

A 51-year-old man developed severe mitral regurgitation 10 years after previous mitral valve repair; the echocardiographic images showed a remarkable eccentric jet toward posterior wall of left atrium associated with a high degree of pulmonary vein retrograde flow. The coronary arteriography pointed out no pathologic lesions but a coronary fistula from the proximal right coronary to the right atrium. The standard approach was avoided, and a right anterolateral minithoracotomy was chosen, providing an excellent view. Under cardiopulmonary bypass and mild hypothermia, the mitral valve was re-repaired, and a new ring was implanted. After aortic cross-clamp release, the right coronary fistula was closed through the right atrium. The postoperative course was uneventful, and the patient was discharged on the fourth postoperative day. In such a high-risk reintervention and concomitant procedure, we think that this different approach may represent a feasible and reliable alternative.

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