Anastomosis of an internal mammary artery to the anterior cardiac vein.
We present the case of a 65-year-old man who had undergone coronary artery bypass surgery 12 years previously. He presented with recurrent cardiac chest pain. Repeat coronary angiography showed anastomosis of the left internal mammary artery to the anterior cardiac vein. There was no evidence of a fistula formation. In conclusion, incorrect anastomosis of conduits is rare in cardiac surgery but should be considered, especially in the presence of symptoms or sign of fistula formation.
Pemberton
James
J
James Cook University Hospital, Middlesbrough, United Kingdom. jameskk29@hotmail.com
Muir
Douglas F
DF
D000368:Aged; D000714:Anastomosis, Surgical; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D006352:Heart Ventricles; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D014680:Veins / Q000601:surgery