title: [Left internal thoracic artery to left pulmonary artery fistula after coronary artery bypass graft surgery. A rare cause of myocardial ischemia].
abstract: 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.
authors.affiliation: Casa de Saúde São José, Rio de Janeiro, RJ. gustavogouvea@globo.com
authors.forename: Gustavo Luiz Gouvêa de
authors.initials: GL
authors.lastname: Almeida Júnior
authors.forename: José Kezen Camilo
authors.initials: JK
authors.lastname: Jorge
authors.forename: Augusto César de Araújo
authors.initials: AC
authors.lastname: Neno
authors.forename: Fernanda Beloni dos Santos
authors.initials: FB
authors.lastname: Nogueira
authors.forename: Bruno
authors.initials: B
authors.lastname: Hellmuth
authors.forename: Roberto Hugo da Costa
authors.initials: RH
authors.lastname: Lins
authors.forename: Renato
authors.initials: R
authors.lastname: Vilella
authors.forename: Valdo José
authors.initials: VJ
authors.lastname: Carreira
authors.forename: Ivo
authors.initials: I
authors.lastname: Thadeu
authors.forename: José Pedro da
authors.initials: JP
authors.lastname: Silva
mesh_terms: 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