Why the study?
Does proximal and distal ligation prevent recurrence of large coronary fistulae?
Does proximal and distal ligation prevent recurrence of large coronary fistulae?
Ligation may not be an adequate procedure for large coronary fistulae, and division with oversewing should be performed when feasible.
Ligation may fail to prevent recurrence in large coronary fistulae; leaves open whether division with oversewing is required.
A patient with a large fistula from the left circumflex coronary artery to the coronary sinus that recurred in spite of proximal and distal ligation is presented. It suggests that ligation is not an adequate procedure for large coronary fistulae. Division and oversewing should be done whenever feasible.
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Kostis et al. (1984) studied this question.
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