Acquired left coronary artery to left atrium fistula: unusual complication of aortocoronary bypass.
This report describes a very unusual complication of aortocoronary bypass graft surgery. It consists of the formation of an acquired fistula between the left circumflex coronary artery and the left atrium in a patient who was operated two years prior to its clinical presentation. Significant coronary steal gave rise to disabling angina and prompted a second operation to close the fistula. The diagnosis was made with selective arteriogram that clearly delineated the fistulous tract and surgery was accomplished without extracorporeal circulation.
D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003331:Coronary Vessels; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged