Left Internal Mammary Artery Graft-to-Pulmonary Artery Fistula | Zendy

Emmanouil Petrou | Zendy; Ιoannis Iakovou | Zendy

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Left Internal Mammary Artery Graft-to-Pulmonary Artery Fistula

Author(s) -

Emmanouil Petrou,

Ιoannis Iakovou

Publication year - 2014

Publication title -

arquivos brasileiros de cardiologia

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.4

H-Index - 53

eISSN - 1678-4170

pISSN - 0066-782X

DOI - 10.5935/abc.20140160

Subject(s) - medicine , mammary artery , pulmonary artery , fistula , cardiology , artery , radiology

An 80-year-old man was admitted to our hospital because of an acute coronary syndrome. He had undergone coronary artery bypass grafting (CABG) 12 years ago, which involved a left internal mammary artery (LIMA) graft to the left anterior descending coronary artery. Direct LIMA injection revealed an arteriovenous fistula between the distal portion of a grossly dilated LIMA graft and the pulmonary vasculature (Panel A). Cardiac computed tomographic angiography (Panels B, C) and volume-rendering technique (Panels D, E, F) revealed an arteriovenous fistula between LIMA and the pulmonary artery.

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