Re: Pulmonary Steal from a Left Internal Mammary Artery Bypass Treated with Transcatheter Embolization

Firestone, Michael I.; Mitty, Harold A.; Falk, Abigail

doi:10.1007/s00270-001-0050-6

Cited by 1 publication

(2 citation statements)

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“…The first report of acquired internal mammary to pulmonary arterial fistula after CABG was published in 1990 by Johnson et al 3 At least 14 other cases of internal mammary artery to pulmonary arterial fistulas following CABG have been reported 1–14 . However, this is the first report of extensive sytemic‐pulmonary shunting involving the LIMA, lateral thoracic and multiple intercostals as a CABG complication.…”

Section: Discussionmentioning

confidence: 85%

“…During the last decade, the use of percutaneous embolization has increased 12–14 . One of the potential complications with percutaneous embolization was the risk of embolizing microparticles into the coronary circulation 12 . Modern microcatheters and the use of newer microcoils have reduced the risks of reflux or protrusion of the coils into the coronary circulation.…”

Section: Discussionmentioning

confidence: 99%

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A Diagnostic and Therapeutic Dilemma: An Unusual Complication of a Coronary Artery Bypass Surgery

Bernier¹,

Valenti²,

Rabinovitch³

et al. 2007

J Cardiac Surgery

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We report a diagnostic and therapeutic challenge involving an unusual coronary artery bypass complication. This is the first report of extensive systemic-pulmonary shunts involving the left internal mammary artery, lateral thoracic and intercostal arteries following coronary artery bypass surgery. Although internal mammary to pulmonary arterial fistula are uncommon complications of coronary artery bypass surgery, clinicians should keep this in mind in managing patients with unexplained exertional dypsnea, especially with prior history of intrathoracic inflammation, mediastinitis, and disruption of the pleura. We also discuss various therapeutic approaches including surgical and percutaneous interventions.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%