Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent

An 83-year-old man, who underwent coronary artery bypass operation of left internal mammary artery (LIMA) to left anterior descending (LAD) artery, with sequential saphenous vein to the first and second obtuse marginal (OM) branches of circumflex artery 5 years ago and coronary artery stent implanta...

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Main Authors: Ender Ornek, Harun Kundi, Emrullah Kiziltunc, Mustafa Cetin
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2016/9126817
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author Ender Ornek
Harun Kundi
Emrullah Kiziltunc
Mustafa Cetin
author_facet Ender Ornek
Harun Kundi
Emrullah Kiziltunc
Mustafa Cetin
author_sort Ender Ornek
collection DOAJ
description An 83-year-old man, who underwent coronary artery bypass operation of left internal mammary artery (LIMA) to left anterior descending (LAD) artery, with sequential saphenous vein to the first and second obtuse marginal (OM) branches of circumflex artery 5 years ago and coronary artery stent implantation to right coronary artery 2 months ago, was admitted to the hospital with syncope and chest pain. Aortosaphenous graft selective angiography revealed that first sequential side to side ligation was inadvertently anastomosed to left posterolateral coronary vein with resultant flow into the coronary sinus and distal end to side sequential anastomosis to OM 2 coronary artery which was filling very weakly. In order to close this iatrogenic coronary arteriovenous fistula and to supply saphenous vein flow to OM artery, we decided to implant a graft covered stent into the saphenous vein at the same session.
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issn 2090-6404
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series Case Reports in Cardiology
spelling doaj-art-99f011521dd84f13960ac503504a63de2025-02-03T06:07:45ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/91268179126817Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered StentEnder Ornek0Harun Kundi1Emrullah Kiziltunc2Mustafa Cetin3Department of Cardiology, Ankara Numune Education and Research Hospital, TurkeyDepartment of Cardiology, Ankara Numune Education and Research Hospital, TurkeyDepartment of Cardiology, Ankara Numune Education and Research Hospital, TurkeyDepartment of Cardiology, Ankara Numune Education and Research Hospital, TurkeyAn 83-year-old man, who underwent coronary artery bypass operation of left internal mammary artery (LIMA) to left anterior descending (LAD) artery, with sequential saphenous vein to the first and second obtuse marginal (OM) branches of circumflex artery 5 years ago and coronary artery stent implantation to right coronary artery 2 months ago, was admitted to the hospital with syncope and chest pain. Aortosaphenous graft selective angiography revealed that first sequential side to side ligation was inadvertently anastomosed to left posterolateral coronary vein with resultant flow into the coronary sinus and distal end to side sequential anastomosis to OM 2 coronary artery which was filling very weakly. In order to close this iatrogenic coronary arteriovenous fistula and to supply saphenous vein flow to OM artery, we decided to implant a graft covered stent into the saphenous vein at the same session.http://dx.doi.org/10.1155/2016/9126817
spellingShingle Ender Ornek
Harun Kundi
Emrullah Kiziltunc
Mustafa Cetin
Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent
Case Reports in Cardiology
title Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent
title_full Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent
title_fullStr Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent
title_full_unstemmed Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent
title_short Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent
title_sort treatment of iatrogenic aortocoronary arteriovenous fistula with coronary covered stent
url http://dx.doi.org/10.1155/2016/9126817
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