Treatment of a coronary artery to superior vena cava fistula resulting from early closure of a Possis Perma-Flow graft.
The Perma-Flow graft used in bypass surgery achieves more complete revascularization when paucity of native conduits exists. We report a coronary artery to superior vena cava fistula as a complication of this graft, leading to severe right heart failure. The fistula was successfully occluded percutaneously, improving the patient's clinical situation.
Graham
M M
MM
Division of Cardiology, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Kells
C M
CM
Sullivan
J
J
O'Neill
B J
BJ
D000368:Aged; D000714:Anastomosis, Surgical; D001164:Arteriovenous Fistula / Q000209:etiology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D002986:Clinical Trials as Topic; D001026:Coronary Artery Bypass / Q000379:methods; D003327:Coronary Disease / Q000601:surgery; D003331:Coronary Vessels; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D013997:Time Factors; D014683:Vena Cava, Superior