Aorto-coronary artery to coronary vein fistula with the potential of coronary steal as complication of saphenous vein jump bypass graft.
We report the first documented case of an iatrogenic aorto-coronary artery to coronary vein fistula secondary to an aortocoronary saphenous vein jump bypass graft inadvertently anastomosed to a coronary vein. Angiographic and oximetric results of left and right cardiac catheterization--including direct catheterization of the anastomosed coronary vein--as well as clinical data with a four-year follow-up are presented. The role of surgery, percutaneous transcatheter embolization, and conservative treatment is discussed in this unique case with the potential of a coronary steal phenomenon.
Department of Cardiology and Pulmonology, Georg-August-University of Göttingen, Germany.
K H
KH
Scholz
V
V
Wiegand
P
P
Rosemeyer
J M
JM
Chemnitius
H
H
Kreuzer
D000714:Anastomosis, Surgical / Q000009:adverse effects; D001164:Arteriovenous Fistula / Q000209:etiology*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*