Endovascular treatment of inadvertent left internal mammarian artery to great cardiac vein fistula

Baş, Ahmet; Kandemirli, Sedat Giray; Gülşen, Fatih; Cantasdemir, Murat; Numan, Fürüzan

doi:10.1016/j.hjc.2016.03.008

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…Interestingly, since 2011 there are five case reports 18‐22 that included coronary computed tomographic angiography (CTA) as part of their assessment. Graidis et al 23 reported an incidence of 0.15% fistula formation between coronary artery and other coronary vasculature and cardiac chambers using MDCT.…”

Section: Discussionmentioning

confidence: 99%

Inadvertent aortocoronary arteriovenous fistula after CABG: Systematic review of case reports

Chen

Scridon

Chait

2020

Cathet Cardio Intervent

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Objective: To summarize published case reports of aortocoronary arteriovenous fistula (ACAVF) after coronary artery bypass grafting surgery (CABG). Background: Inadvertent ACAVF is a rare complication following CABG. However, the incidence continues to rise, and its management details and clinical outcomes have not been well described. Methods: To identify all published cases of ACAVF following CABG, PubMed, EMBASE, and Scopus were searched through November 2019. We defined ACAVF as inadvertent attachment of the grafting vessel onto a cardiac vein instead of targeted coronary artery. A systematic review was performed to identify the incidence, clinical features, and management outcomes. Results: A total of 48 post-CABG ACAVF cases were gathered. Among these patients, the mean age was 61.9 years and 79.2% were men. Most common presenting symptoms were chest pain (60.4%) and dyspnea (27.1%). The average onset of symptoms was 3 years; however, 54.2% of patients developed symptoms within the first year. The majority of cases reported targeted native vessel LAD during CABG (62.5%). Of these cases, 9 (18.8%) were managed conservatively, 8 (16.7%) chose to undergo surgery including ligation of fistula and repeat CABG, and 27 (56.3%) underwent percutaneous closure. Among these patients 13 cases (27.1%) were managed with coil embolization, 5 (10.4%) with balloon embolization, 5 (10.4%) were treated with a covered stent, and 4 (8.3%) used a vascular plug. There were no reported complications following treatment in this group. Conclusions: Inadvertent ACAVF are rare following CABG. Percutaneous closure was feasible and safe in treating these patients.

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Section: Discussionmentioning

confidence: 99%

Inadvertent aortocoronary arteriovenous fistula after CABG: Systematic review of case reports

Chen

Scridon

Chait

2020

Cathet Cardio Intervent

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“…This mechanism was confirmed on repeat PET after coronary intervention, which demonstrated no evidence of myocardial steal from the LIMA-GCV fistula alone. In the absence of pulmonary hypertension, significant left-to-right shunt or high-output cardiac failure, these arterio-venous fistulae can be treated conservatively [6]. As demonstrated in this case, despite possible dramatic angiographic appearance and prolonged duration of existence, these indirect markers do not necessarily predict shunt fraction and/or clinical significance.…”

Section: Case Descriptionmentioning

confidence: 96%

“…As demonstrated in this case, despite possible dramatic angiographic appearance and prolonged duration of existence, these indirect markers do not necessarily predict shunt fraction and/or clinical significance. Repeat bypass grafting, coil embolization, vascular plug occlusion devices or covered stents in the CS have been used in the treatment of hemodynamically significant LIMA-to-GCV fistulae [2,[6][7][8]. Periodic echocardiographic monitoring of right-sided size and hemodynamics for this patient will, in conjunction with symptoms, determine if an indication arises to treat the shunt.…”

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confidence: 99%

Left internal mammary artery to great cardiac vein fistula: innocent bystander or guilty as charged?

Bravo‐Jaimes

Loghin²,

Arain³

et al. 2020

Coronary Artery Disease

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“…Traditional Coronary Artery Bypass Graft (CABG) is currently among of the chief methods in dealing with patients suffering from atherosclerotic coronary heart disease. It is performed under on-pump and cardiac arrest and is associated with severe injury and a generalized inflammation with many undesired consequences postoperatively (Xu et al, 2020;Bas et al, 2016). To minimize these adverse consequences and with the modern advancement in the vessels targeting and beating cardiac procedures, other techniques were developed.…”

Section: Introductionmentioning

confidence: 99%

Investigation of Inflammatory and Oxidative Stress Biomarkers in Multi Vessels Minimally Invasive Coronary Artery Bypass Graft Surgery Versus Off-Pump Coronary Artery Bypass Graft

Abdel-Hafez¹,

Elminshawy²,

Taha³

et al. 2021

American Journal of Biochemistry and Biotechnology

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Traditional Coronary Artery Bypass Graft (CABG) is currently among of the chief methods in dealing with patients suffering from atherosclerotic coronary heart disease. The current study aimed to measure and compare the levels of proinflammatory cytokines and oxidative stress marker in patients who underwent multivessels Minimally Invasive Coronary Artery Bypass Graft Surgery (MICS-CABG) versus off-pump Coronary Artery Bypass Grafting (off-pump CABG) in the cardiothoracic department, Assiut University hospitals, Upper Egypt. the study included 67 patients, all of them suffering from atherosclerotic coronary artery disease, which confirm by cardiac catheter angiography. The patients were divided randomly into two groups, first group (A) included 34 patients to whom Multi Vessels Coronary Artery Bypass Graft Surgery (MICS-CABG) under off pump had been done. The second group (B) included 33 patients whom underwent off pump Coronary Artery Bypass Grafting (off-pump CABG). Tumor Necrosis Factor-Α (TNF-α), interlukin-2 (IL-2), lipid peroxides, Superoxide Dismutase (SOD), total thiols and Nitric Oxide (NO) were estimated in sera of all patients by their corresponding methods; 48 h before the operation, 15 min before the operation end and 72 h after the operation. After testing the normality, Mann-Whitney U test and Spearman correlation coefficient were used to compare the two groups and tested the variables' correlations with the duration of the operation. p≤0.05 was considered significant. Serum TNF-α, IL-2 and lipid peroxides levels were significantly higher while total thiols and SOD were significantly lower, intraoperative and postoperatively, while No was significantly higher intraoperative only, in off-pump CABG group compared to MICS-CABG group and in both groups, intraoperative and postoperatively compared to preoperative levels. Especially in the postoperative samples, TNF-α, IL-2 and NO levels correlated positively while those of SOD correlated negatively with the operation duration the clinical data obtained presented in details in the result sector and revealed that. MICS-CABG group associated with less postoperative pain, less need for blood transfusion, less hospital stays and rapid regain to normal activity. The current study revealed that MICS-CABG is an effective procedure that is associated with small surgical trauma and lower inflammations and oxidative stress compared to off-pump CABG.

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Endovascular treatment of inadvertent left internal mammarian artery to great cardiac vein fistula

Cited by 5 publications

References 7 publications

Inadvertent aortocoronary arteriovenous fistula after CABG: Systematic review of case reports

Inadvertent aortocoronary arteriovenous fistula after CABG: Systematic review of case reports

Left internal mammary artery to great cardiac vein fistula: innocent bystander or guilty as charged?

Investigation of Inflammatory and Oxidative Stress Biomarkers in Multi Vessels Minimally Invasive Coronary Artery Bypass Graft Surgery Versus Off-Pump Coronary Artery Bypass Graft

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