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Coil embolization of a symptomatic left internal mammary arteriovenous fistula
Author(s) -
Lee Candice Y.,
Knight Peter A.,
Ling Frederick S.
Publication year - 2013
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.25024
Subject(s) - medicine , embolization , arteriovenous fistula , percutaneous , mammary artery , ligation , fistula , heart failure , surgery , radiology , artery , cardiology
Internal mammary artery (IMA) arteriovenous fistulae (AVF) are exceedingly rare. There have been a few case reports documenting incidences of IMA AVFs arising from traumatic, iatrogenic, and congenital causes. Recommendations for management of IMA AVFs vary from open surgical ligation‐excision to transcatheter embolization to observation. We present an unusual case of a patient who presented with ventricular arrhythmias and heart failure symptoms due to a left IMA AVF that formed after open heart surgery. The patient ultimately underwent percutaneous embolization of the fistulous connection. © 2013 Wiley Periodicals, Inc.