Biliary obstruction due to duodenojejunal intussusception in Peutz-Jeghers syndrome |
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Authors: | WJ Schnedl EC Reisinger RW Lipp M Uggowitzer HJ Mischinger P Fickert GJ Krejs |
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Affiliation: | Department of Thoracic and Cardiovascular Surgery, National Obihiro Hospital, Japan. |
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Abstract: | We reported an operative case of bilateral coronary artery fistulae to pulmonary artery associated with a giant saccular aneurysm, the largest of which measured 30 x 30 mm. The patient was a 75 year old female who had anginal pain due to coronary steal phenomenon. A continuous murmur was detected. After establishing total cardiopulmonary bypass, two distal orifices of the fistula connected to the main pulmonary artery were closed with 5-0 polypropylene plegeted sutures. Aneurysmorrhaphy was then performed for giant saccular aneurysm. Postoperative course was uneventful. |
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