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Percutaneous closure of left intemal mammary artery-to-pulmonary artery fistula using the domestic vascular plug: a case report

A 55-year-old man was admitted for transcatheter closure because of pulmonary arteriovenous fistula by magnetic resonance angiography (MRA). He had a history of occasional chest pain more than one year. Angiography didn't reveal significant stenosis at coronary artery. The patient was found a contin...

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Bibliographic Details
Published in:Journal of Medical Colleges of PLA 2010, Vol.25 (4), p.247-251
Main Author: Chen Shaoping Wang Zhongkai Zhao Xianxian Qin Yongwen
Format: Article
Language:English
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Summary:A 55-year-old man was admitted for transcatheter closure because of pulmonary arteriovenous fistula by magnetic resonance angiography (MRA). He had a history of occasional chest pain more than one year. Angiography didn't reveal significant stenosis at coronary artery. The patient was found a continuous grade 2/6 murmur over the left upper parastenal area one month ago. Chest MRA revealed a possible left superior pulmonary arteriovenous fistula. For diagnosis and localization of the fistula, aortography and selective angiography of the intemal mammary artery was performed and presented a left internal mammary artery-to-pulmonary artery fistula. The fistula was successfully closed using an 12 mm domestic vascular plug. Chest MRA showed that the fistula disappeared at two-month follow-up
ISSN:1000-1948