Percutaneous treatment of an iatrogenic cardiac fistula.
Coronary fistulae, defined as communications between coronary arteries and cardiac chambers or veins, are uncommon. We present a case where a fistula was inadvertently caused by the surgical anastomosis of an arterial coronary artery bypass graft to a coronary vein. This produced two coronary problems, the unrevascularized Cx territory and a coronary arteriovenous fistula, and left the patient with symptoms. Each of these problems was addressed in a tailored percutaneous intervention by deploying ostial and distal stents to revascularize the Cx, followed by coils to block the distal section of the graft.
Patterson
Mark S
MS
Amsterdam Department of Interventional Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands. markspatterson@doctors.net.uk
Vaina
Sophia
S
Serruys
Patrick W
PW
D000368:Aged; D001164:Arteriovenous Fistula / Q000209:etiology* / Q000628:therapy*; D002404:Catheterization; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000209:etiology / Q000628:therapy*; D003326:Coronary Circulation; D004621:Embolization, Therapeutic; D006801:Humans; D007049:Iatrogenic Disease; D019300:Medical Errors