title: Percutaneous occlusion of an iatrogenic aortosaphenous vein--coronary vein fistula via retrograde coronary sinus approach.
abstract: Inadvertent aortosaphenous vein graft-coronary vein anastomosis during coronary bypass surgery is an uncommon complication. We describe a case of aortosaphenous vein side-to-side anastomosis to an obtuse marginal vein resulting in a large arteriovenous fistula and elective closure, using embolization coils delivered percutaneously via the coronary sinus. The clinical findings, interventional procedure, and follow-up are also presented, with a discussion of alternative techniques used previously to treat iatrogenic aortosaphenous vein graft venous fistulae.
authors.affiliation: Charles A. Dana Research Institute, Harvard Medical School; Beth Israel Hospital, Boston, Massachusetts 02215, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Lopez
authors.forename: R E
authors.initials: RE
authors.lastname: Kuntz
authors.forename: D S
authors.initials: DS
authors.lastname: Baim
authors.forename: R G
authors.initials: RG
authors.lastname: Johnson
authors.forename: D
authors.initials: D
authors.lastname: Kim
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000209:etiology / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000209:etiology / Q000628:therapy*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000209:etiology / Q000628:therapy*; D003331:Coronary Vessels; D004621:Embolization, Therapeutic / Q000379:methods*; D006083:Graft Occlusion, Vascular / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents