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with ST elevated myocardial infarction (STEMI), 3.41% with unstable angina, 0.56% with stable angina, and 0.11% were diagnosed with various types of arrhythmias. The left anterior descending artery (LAD) was the most common culprit lesion in 51% of the patients. Approximately 48.5% There were initially 65.2%
Patient underwent surgical closure of fistula and a 2-vessel coronaryarterybypassgraft surgery, with a LIMA pedicle graft to the LAD, and SV graft to the LCx.Postoperatively, patient was continued on medical therapy with improvement of symptoms. CCF can be congenital or acquired and has many variations.
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