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The case of a male child with pulmonic valvular stenosis and a single coronary artery is presented. Following a closed pulmonary valvulotomy the patient developed a coronary artery to right ventricle fistula which became symptomatic.
The acquired fistulous opening in the single coronary artery was closed from within the right ventricle during extracorporeal circulation. With this technique the circulation to the heart supplied by this coronary artery was not impaired when the fistula was obliterated.
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Bahnson, H.: Personal communication, 1960.
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Received: November 3, 1961
© 1962 Published by Elsevier Inc.