%0 Journal Article
%T Coronary¨CPulmonary Artery Fistula Ligation and Mitral Valve Repair Through a Mini
%A Chiharu Tanaka
%A Hiroto Kitahara
%A Hiroyuki Kamiya
%A Naohiro Wakabayashi
%A Natsuya Ishikawa
%A Sentaro Nakanishi
%J Innovations
%@ 1559-0879
%D 2019
%R 10.1177/1556984519836868
%X A 39-year-old man with severe mitral regurgitation was referred to our institution for surgical evaluation. During preoperative workup, a coronary¨Cpulmonary artery fistula was incidentally found by computed tomography. After multidisciplinary cardiac team discussion, the decision was made to proceed with coronary¨Cpulmonary artery fistula ligation and mitral valve repair through a mini-thoracotomy approach. Cardiopulmonary bypass was initiated with femoral vessels. A mini-thoracotomy was made in the fourth intercostal space. First, mitral valve repair with posterior leaflet folding and ring annuloplasty was done. The coronary¨Cpulmonary artery fistula was running on the roof of the left atrium and was ligated with metal clips under thoracoscopic vision. Postoperative computed tomography showed no residual fistula
%K coronary-pulmonary artery fistula
%K minimally invasive cardiac surgery
%K mitral valve repair
%U https://journals.sagepub.com/doi/full/10.1177/1556984519836868