Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent


ÖRNEK E., KUNDİ H., KIZILTUNÇ E., ÇETİN M.

Case Reports in Cardiology, cilt.2016, ss.1-3, 2016 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Vaka Takdimi
  • Cilt numarası: 2016
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1155/2016/9126817
  • Dergi Adı: Case Reports in Cardiology
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.1-3
  • Gazi Üniversitesi Adresli: Hayır

Özet

An 83-year-old man, who underwent coronary artery bypass operation of left internal mammary artery (LIMA) to left anterior descending (LAD) artery, with sequential saphenous vein to the first and second obtuse marginal (OM) branches of circumflex artery 5 years ago and coronary artery stent implantation to right coronary artery 2 months ago, was admitted to the hospital with syncope and chest pain. Aortosaphenous graft selective angiography revealed that first sequential side to side ligation was inadvertently anastomosed to left posterolateral coronary vein with resultant flow into the coronary sinus and distal end to side sequential anastomosis to OM 2 coronary artery which was filling very weakly. In order to close this iatrogenic coronary arteriovenous fistula and to supply saphenous vein flow to OM artery, we decided to implant a graft covered stent into the saphenous vein at the same session.