ArticleJACC. Case reports2026
Surgical Repair of Complex Coronary-Pulmonary Artery Fistulae With Concomitant Coronary Disease and Aortic Stenosis.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
backgroundCoronary artery fistulae are rare anomalies that may cause myocardial ischemia or arrhythmias, even in the absence of coronary stenosis. Their presence alongside other structural cardiac diseases complicates diagnosis and management. CASE SUMMARY: A 69-year-old man presented with significant triple-vessel disease including left main stem involvement, moderate aortic stenosis, and complex coronary-pulmonary artery fistulae arising from all 3 coronary territories. He underwent urgent surgery comprising coronary artery bypass grafting, aortic valve replacement, and fistulae ligation. The patient had an uneventful postoperative course and made a good recovery. DISCUSSION: This case demonstrates how coronary-pulmonary artery fistulae, though rare, can significantly complicate clinical management when coexisting with severe coronary artery disease and valvular pathology. TAKE-HOME MESSAGE: Early recognition of coronary-pulmonary artery fistulae is essential, particularly in the setting of complex cardiac disease, where surgery may be the only effective treatment option.
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