Aortocoronary bypass graft fistula after surgical treatment of circumflex coronary artery fistula: a unique variation of a rare condition successfully treated with percutaneous embolization

• Published in: Interactive cardiovascular and thoracic surgery 2010-02, Vol.10 (2), p.256-257
• Main Authors: White, Ralph W, Sivananthan, Mohan U, Kay, Philip H
• Format: Article
• Language: English
• Subjects: Aortic Diseases - etiology; Aortic Diseases - therapy; Arteriovenous Fistula - diagnostic imaging; Arteriovenous Fistula - surgery; Arteriovenous Fistula - therapy; Coronary Angiography; Coronary Artery Bypass - adverse effects; Coronary Sinus - abnormalities; Coronary Sinus - diagnostic imaging; Coronary Sinus - surgery; Coronary Vessel Anomalies - diagnostic imaging; Coronary Vessel Anomalies - surgery; Embolization, Therapeutic; Humans; Iatrogenic Disease; Magnetic Resonance Angiography; Middle Aged; Recurrence; Saphenous Vein - transplantation; Treatment Outcome
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1510/icvts.2009.219360

a Department of Cardiothoracic Surgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK b Department of Cardiology, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK *Corresponding author. Tel.: [phone]. E-mail address : ra1ph69{at}hotmail.com (R.W. White). Multiple coronary artery fistulae are rare, complications can be life-threatening, and with large or symptomatic fistulae, intervention is mandatory. Both surgical and percutaneous interventions are well-described. We believe this is the first report of the embolization of an acquired fistula following initial surgical treatment of multiple congenital fistulae. Key Words: Coronary sinus; Fistula; Embolism; Coronary artery bypass grafts (CABG)