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European Journal of Cardio-Thoracic Surgery, Vol 7, 441-442, Copyright © 1993 by European Association for Cardio-thoracic Surgery

ARTICLES

Aorto-coronary artery to coronary vein fistula with the potential of coronary steal as complication of saphenous vein jump bypass graft

KH Scholz, V Wiegand, P Rosemeyer, JM Chemnitius and H Kreuzer
Department of Cardiology and Pulmonology, Georg-August-University of Gottingen, Germany.

We report the first documented case of an iatrogenic aorto-coronary artery to coronary vein fistula secondary to an aortocoronary saphenous vein jump bypass graft inadvertently anastomosed to a coronary vein. Angiographic and oximetric results of left and right cardiac catheterization--including direct catheterization of the anastomosed coronary vein--as well as clinical data with a four-year follow-up are presented. The role of surgery, percutaneous transcatheter embolization, and conservative treatment is discussed in this unique case with the potential of a coronary steal phenomenon.

This article has been cited by other articles:

				P. H. McNulty and I. C. Gilchrist Natural history of inadvertent aorta-saphenous vein-coronary vein bypass graft Ann. Thorac. Surg., March 1, 2003; 75(3): 996 - 997. [Abstract] [Full Text] [PDF]