Percutaneous treatment of an iatrogenic cardiac fistula | Zendy

Patterson Mark S. | Zendy; Vaina Sophia | Zendy; Serruys Patrick W. | Zendy

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Percutaneous treatment of an iatrogenic cardiac fistula

Author(s) -

Patterson Mark S.,

Vaina Sophia,

Serruys Patrick W.

Publication year - 2008

Publication title -

catheterization and cardiovascular interventions

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.988

H-Index - 116

eISSN - 1522-726X

pISSN - 1522-1946

DOI - 10.1002/ccd.21608

Subject(s) - medicine , fistula , percutaneous coronary intervention , coronary arteries , anastomosis , arteriovenous fistula , percutaneous , coronary steal , cardiology , artery , surgery , great cardiac vein , radiology , coronary angiography , myocardial infarction

Coronary fistulae, defined as communications between coronary arteries and cardiac chambers or veins, are uncommon. We present a case where a fistula was inadvertently caused by the surgical anastomosis of an arterial coronary artery bypass graft to a coronary vein. This produced two coronary problems, the unrevascularized Cx territory and a coronary arteriovenous fistula, and left the patient with symptoms. Each of these problems was addressed in a tailored percutaneous intervention by deploying ostial and distal stents to revascularize the Cx, followed by coils to block the distal section of the graft. © 2008 Wiley‐Liss, Inc.

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