Traumatic arteriovenous fistula of the internal mammary vessels.
An uncommon case of traumatic arteriovenous fistula of the left internal mammary artery following penetrating chest trauma is presented. The patient developed a left parasternal machinery murmur six days after thoracotomy to repair a pericardial tamponade after a penetrating left parasternal stab wound. Selective digital subtraction angiography revealed pseudoaneurysm formation with fistulous connection of the left internal mammary artery to the adjacent vein. The fistula was successfully occluded with coil embolization.
Department of Cardiac Surgery, Medical Faculty, University of Rostock, 18057 Rostock, Germany. can.yerebakan@med.uni-rostock.de
C
C
Yerebakan
B
B
Westphal
J-C
JC
Kröger
G
G
Steinhoff
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D002305:Cardiac Tamponade / Q000209:etiology; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000293:injuries*; D013406:Suicide, Attempted; D013908:Thoracotomy; D016896:Treatment Outcome; D014951:Wounds, Stab / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery