Document Detail

Aorto-coronary artery to coronary vein fistula with the potential of coronary steal as complication of saphenous vein jump bypass graft.
MedLine Citation:
PMID:  8398193     Owner:  NLM     Status:  MEDLINE    
We report the first documented case of an iatrogenic aorto-coronary artery to coronary vein fistula secondary to an aortocoronary saphenous vein jump bypass graft inadvertently anastomosed to a coronary vein. Angiographic and oximetric results of left and right cardiac catheterization--including direct catheterization of the anastomosed coronary vein--as well as clinical data with a four-year follow-up are presented. The role of surgery, percutaneous transcatheter embolization, and conservative treatment is discussed in this unique case with the potential of a coronary steal phenomenon.
K H Scholz; V Wiegand; P Rosemeyer; J M Chemnitius; H Kreuzer
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  7     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1993  
Date Detail:
Created Date:  1993-11-16     Completed Date:  1993-11-16     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  441-2     Citation Subset:  IM    
Department of Cardiology and Pulmonology, Georg-August-University of Göttingen, Germany.
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MeSH Terms
Anastomosis, Surgical / adverse effects
Arteriovenous Fistula / etiology*
Coronary Artery Bypass / adverse effects*
Coronary Vessels / surgery*
Intraoperative Complications
Middle Aged
Saphenous Vein / transplantation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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