Percutaneous occlusion of an iatrogenic aortosaphenous vein--coronary vein fistula via retrograde coronary sinus approach.
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.
Lopez
J J
JJ
Charles A. Dana Research Institute, Harvard Medical School; Beth Israel Hospital, Boston, Massachusetts 02215, USA.
Kuntz
R E
RE
Baim
D S
DS
Johnson
R G
RG
Kim
D
D
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