[Left internal thoracic artery to left pulmonary artery fistula after coronary artery bypass graft surgery. A rare cause of myocardial ischemia].
We report a patient who developed dyspnea on mild exertion six years after coronary artery bypass graft surgery (CABG). Myocardial ischemia was documented by radionuclide imaging, and coronary angiography showed patency of all grafts and a large fistula between the left internal thoracic artery (LITA) and the left pulmonary artery (LPA). The patient was submitted to surgical closure of the fistula and made an excellent recovery.
Almeida Júnior
Gustavo Luiz Gouvêa de
GL
Casa de Saúde São José, Rio de Janeiro, RJ. gustavogouvea@globo.com
Jorge
José Kezen Camilo
JK
Neno
Augusto César de Araújo
AC
Nogueira
Fernanda Beloni dos Santos
FB
Hellmuth
Bruno
B
Lins
Roberto Hugo da Costa
RH
Vilella
Renato
R
Carreira
Valdo José
VJ
Thadeu
Ivo
I
Silva
José Pedro da
JP
D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects*; D008297:Male; D008323:Mammary Arteries; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology*; D011651:Pulmonary Artery