Endovascular Treatment of a Coronary Artery Bypass Graft to Pulmonary Artery Fistula with Coil Embolization

被引：0
作者：
Jeffery L. Nielson
Preet S. Kang
机构：
[1] University Hospitals of Cleveland and Veterans Administration Medical Center–Cleveland,Departments of Radiology
[2] Case Western Reserve University,undefined
来源：
CardioVascular and Interventional Radiology | 2006年 / 29卷
关键词：
Post-CABG cornary artery; Pulmonary artery fistula; Embolization;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Fistula formation between a coronary artery bypass graft (CABG)and the pulmonary arterial circulation represents a rare cause of recurrent angina in patients following bypass grafting. Therapy has traditionally involved surgical ligation by open thoracotomy. We describe a case of left internal mammary artery–left upper lobe pulmonary artery fistula presenting as early recurrent angina following CABG. The fistula was embolized using platinum coils, resulting in symptomatic relief and improvement in myocardial perfusion on cardiac perfusion scintigraphy. Coil embolization should be considered a therapeutic option in patients with coronary–pulmonary steal syndrome.
引用
收藏
页码：302 / 305
页数：3
相关论文
共 27 条
[1]  
Madu EC(2001)recurrent ischemia resulting from left internal mammary artery-to-pulmonary artery fistula Angiology 52 185-188
[2]  
Hanumanthu SK(1993)Recurrent angina due to a left internal mammary artery-to-pulmonary artery fistula Am Heart J 125 234-236
[3]  
Kim C(1996)Coronary-pulmonary steal syndrome Ann Thorac Surg 62 264-265
[4]  
Kimmelsteil CD(1991)Internal mammary artery to lung parenchyma fistula after aortocoronary bypass grafting Ann Thorac Surg 52 141-142
[5]  
Udelson J(2004)Treatment of a left internal mammary artery to pulmonary artery fistula with polytetrafluoroethylene covered stents Cardiovasc Intervent Radiol 27 74-76
[6]  
Salem D(2002)Internal mammary to pulmonary artery fistula presenting as early recurrent angina after coronary bypass Arq Bras Cardiol 79 181-182
[7]  
Najm HK(1990)Internal mammary artery graft to pulmonary vasculature fistula: a case of recurrent angina Ann Thorac Surg 50 297-298
[8]  
Gill IS(2002)Successful concomitant treatment of a coronary-to-pulmonary artery fistula and a left anterior descending artery stenosis using a single covered stent graft: a case report and literature review J Intervent Cardiol 15 209-213
[9]  
FitzGibbon GM(2002)Coronary-pulmonary artery fistula associated with right heart failure: successful closure of fistula with a graft stent Angiology 53 613-616
[10]  
Blanche C(undefined)undefined undefined undefined undefined-undefined
123