Presentation is loading. Please wait.

Presentation is loading. Please wait.

Epicardial 15-MHz Echocardiography for Effective Repair of Coronary Arteriovenous Fistula  Masashi Komeda, MD, PhD, Hirotomo Uchiyama, MD, Sakurako Nakamura,

Published byJanusz Kaźmierczak Modified over 5 years ago

Similar presentations

Presentation on theme: "Epicardial 15-MHz Echocardiography for Effective Repair of Coronary Arteriovenous Fistula  Masashi Komeda, MD, PhD, Hirotomo Uchiyama, MD, Sakurako Nakamura,"— Presentation transcript:

1 Epicardial 15-MHz Echocardiography for Effective Repair of Coronary Arteriovenous Fistula 
Masashi Komeda, MD, PhD, Hirotomo Uchiyama, MD, Sakurako Nakamura, MD, Takashi Kusunose, MD, Shoji Fujiwara, MD, Toshimi Ujiie, MD, PhD  The Annals of Thoracic Surgery  Volume 105, Issue 1, Pages e41-e43 (January 2018) DOI: /j.athoracsur Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Intraoperative view of coronary arteriovenous fistula, its occlusive procedures, and an echocardiography probe with a stabilizer. The fistula was identified or dissected from the fat tissue on the right/left ventricle or main pulmonary artery (mPA). A stabilizer (Stb) for coronary bypass grafting was positioned on the surface of the heart just adjacent to the fistula. A thick, soft pad (Pad) for performing echocardiography was placed to the surface of the fistula, and the 15-MHz echocardiographic (Echo) probe was positioned on the pad for imaging the fistula and its blood flow. Then, 4-0 polypropylene sutures were placed around the fistula. If the fistula was bulky, pledgetted sutures were used to sandwich it. The suture near the origin of the coronary artery was passed through the occluder. After the temporary “occlusion test” was passed, the sutures were tied and the fistula was obliterated. If echocardiography confirmed remnant shunt flow in the fistula, another suture was applied. These procedures were repeated until no blood flow was seen in the fistula. (Ao = ascending aorta.) The Annals of Thoracic Surgery  , e41-e43DOI: ( /j.athoracsur ) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Echocardiogram in a representative patient before and after the coronary fistula was ligated. (Left) White arrows show the blood flow in the fistula before its adjacent segment was ligated. (Right) The blood flow (ie, shunt flow) was absent after ligation. The fistula in the area had been obliterated. The Annals of Thoracic Surgery  , e41-e43DOI: ( /j.athoracsur ) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Epicardial 15-MHz Echocardiography for Effective Repair of Coronary Arteriovenous Fistula  Masashi Komeda, MD, PhD, Hirotomo Uchiyama, MD, Sakurako Nakamura,"

Similar presentations

Giant Coronary Artery Aneurysm With Pulmonary Artery Fistula in a Patient on Chronic Hemodialysis  Chiho Tokunaga, MD, PhD, Akito Imai, MD, Yoshiharu.

Giant Coronary Artery Aneurysm With Pulmonary Artery Fistula in a Patient on Chronic Hemodialysis  Chiho Tokunaga, MD, PhD, Akito Imai, MD, Yoshiharu.
Autotransplantation for Threatened Cardiac Rupture After Left Ventricular Repair  Hiroaki Hata, MD, PhD, Motomi Shiono, MD, PhD, Mitsuru Iida, MD, PhD,

Autotransplantation for Threatened Cardiac Rupture After Left Ventricular Repair  Hiroaki Hata, MD, PhD, Motomi Shiono, MD, PhD, Mitsuru Iida, MD, PhD,
Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up  Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up  Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,
The Completion Bentall Procedure

The Completion Bentall Procedure
Femorofemoral Shunt During Surgery for Acute DeBakey Type 1 Dissection to Treat Peripheral Extremity Malperfusion  Eric I. Jeng, MD, MBA, Igor Voskresensky,

Femorofemoral Shunt During Surgery for Acute DeBakey Type 1 Dissection to Treat Peripheral Extremity Malperfusion  Eric I. Jeng, MD, MBA, Igor Voskresensky,
Facile Stabilization and Exposure Techniques in Off-Pump Coronary Bypass Surgery  Murat Kurtoglu, MD, Sanser Ates, MD, Tuba Demirozü, MD, İbrahim Duvan,

Facile Stabilization and Exposure Techniques in Off-Pump Coronary Bypass Surgery  Murat Kurtoglu, MD, Sanser Ates, MD, Tuba Demirozü, MD, İbrahim Duvan,
Serkan Burç Deşer, MD, Mustafa Kemal Demirağ, MD 

Serkan Burç Deşer, MD, Mustafa Kemal Demirağ, MD 
Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E

Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E
Intracoronary Shunt Prevents Ischemia in Off-Pump Coronary Artery Bypass Surgery  Jacob Bergsland, MD, Per Snorre Lingaas, MD, Helge Skulstad, MD, PhD,

Intracoronary Shunt Prevents Ischemia in Off-Pump Coronary Artery Bypass Surgery  Jacob Bergsland, MD, Per Snorre Lingaas, MD, Helge Skulstad, MD, PhD,
Novel Beating Heart Repair for Anomalous Origin of Right Coronary Artery  Yoshito Inoue, MD, PhD, Hiroyuki Kawajiri, MD, Satoru Suzuki, MD, Tomoki Tamura,

Novel Beating Heart Repair for Anomalous Origin of Right Coronary Artery  Yoshito Inoue, MD, PhD, Hiroyuki Kawajiri, MD, Satoru Suzuki, MD, Tomoki Tamura,
Novel Use of Transesophageal Echocardiographic Probe for Intraoperative Epicardial Imaging  Adrian Ionescu, MD, FRCP, Michael Gilbert, MD, FRCA, Pankaj.

Novel Use of Transesophageal Echocardiographic Probe for Intraoperative Epicardial Imaging  Adrian Ionescu, MD, FRCP, Michael Gilbert, MD, FRCA, Pankaj.
Total Arch Replacement Under Normothermic Beating Heart Surgery

Total Arch Replacement Under Normothermic Beating Heart Surgery
Repair of Circumflex Aortic Arch in an Adult

Repair of Circumflex Aortic Arch in an Adult
The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report  John S. Ikonomidis, MD, PhD  The Annals of Thoracic.

The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report  John S. Ikonomidis, MD, PhD  The Annals of Thoracic.
Lindsay C.H. John, MD, FRCS  The Annals of Thoracic Surgery 

Lindsay C.H. John, MD, FRCS  The Annals of Thoracic Surgery 
John D. Rutkoski, MD, Beth A. Schrope, MD, Benjamin E. Lee, MD 

John D. Rutkoski, MD, Beth A. Schrope, MD, Benjamin E. Lee, MD 
Single Ostium of the Right and Left Coronary Artery From the Right Pulmonary Artery  Katarzyna Januszewska, MD, PhD, Hans-Gerd Kehl, MD, PhD, Edward Malec,

Single Ostium of the Right and Left Coronary Artery From the Right Pulmonary Artery  Katarzyna Januszewska, MD, PhD, Hans-Gerd Kehl, MD, PhD, Edward Malec,
Isolated Permanent Right Ventricular Assistance Using the HVAD Continuous-Flow Pump  Tobias Deuse, MD, Johannes Schirmer, MD, Mathias Kubik, MD, Hermann.

Isolated Permanent Right Ventricular Assistance Using the HVAD Continuous-Flow Pump  Tobias Deuse, MD, Johannes Schirmer, MD, Mathias Kubik, MD, Hermann.
Early Constrictive Epicarditis After Coronary Artery Bypass Surgery

Early Constrictive Epicarditis After Coronary Artery Bypass Surgery
Selective Left Subclavian Ligation in Total Aortic Arch Replacement

Selective Left Subclavian Ligation in Total Aortic Arch Replacement

Similar presentations

Ads by Google