Saphenous Vein Bypass from the Aorta to the Anterior Interventricular Vein

Treistman, Bernardo; Sulbarán, Tulio; Cooley, Denton A.

doi:10.1016/s0003-4975(10)62907-4

Cited by 14 publications

(6 citation statements)

References 9 publications

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“…The reasons for this complication may be anatomical distortion due to myocardial scarring, intramyocardial course of intended artery, pericardial fibrosis, or previous coronary bypass surgery. Also, pericardial fat may disturb coronary exploration [ 3 , 4 ]. This iatrogenic CAVF may result in myocardial ischemia, infective endocarditis, severe systemic to pulmonary shunt, heart failure with high cardiac output, or fistula rupture [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Coil Embolization of Iatrogenic Aorto-Right Atrial Fistula

et al. 2020

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Coronary artery fistula (CAF) is a rare complication following coronary artery bypass grafting (CABG). True incidence is unknown, as at least 50% are asymptomatic. CAF can be either congenital or acquired. Congenital CAF is either an isolated finding or seen with other congenital cardiac anomalies or structural heart defects. Acquired CAF is seen in relation with trauma, infection, or iatrogenic injury. We report a rare case of a 58-year-old man with iatrogenic aorto-right atrial fistula following inadvertent saphenous vein grafting (SVG) implantation to a right coronary vein with persistent angina following CABG and resolution of symptoms following successful obliteration of large, hemodynamically significant, fistulae by coil embolization when medical management failed.

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Section: Discussionmentioning

confidence: 99%

Transcatheter Coil Embolization of Iatrogenic Aorto-Right Atrial Fistula

et al. 2020

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“…The reasons of this complication may be anatomical distortion due to myocardial scarring, pericardial fibrosis, or previous coronary bypass operations. Also pericardial fat may disturb coronary exploration [ 5 – 7 ]. This iatrogenic coronary arteriovenous fistula may result in myocardial ischemia, infective endocarditis, severe systemic to pulmonary shunt, heart failure with high cardiac output, and fistula rupture [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent

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et al. 2016

Case Reports in Cardiology

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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.

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“…This approach is particularly intriguing when disease is diffuse in the coronary artery and thus suboptimal for receiving a bypass graft. The feasibility of using coronary veins for myocardial revascularization was first reported in animal experiments and eventually in humans in the 1970s and has been reviewed [5, 7–14]. Limitations of the procedure included residual shunt flow and fibrous proliferation at the anastamosis and elsewhere in the native vein.…”

Section: Discussionmentioning

confidence: 99%