Title
Inadvertent anastomosis of the left internal mammary artery to the great cardiac vein
Publication Date
2018
Journal Title
Cardiovasc Revasc Med
Abstract
© 2017 Elsevier Inc. We present an uncommon and underreported complication of coronary artery bypass graft surgery: erroneous anastomosis of the left internal mammary artery to the great cardiac vein. The iatrogenic aorto-coronary arteriovenous fistula with left-to-right shunting resulted in dilation of the coronary sinus, a supporting secondary finding. Factors predisposing to this inadvertent anastomosis include an intramyocardial segment of the left anterior descending coronary artery, demonstrated in this case, as well as epicardial fat and potentially fibrosis of the underlying myocardium.
Volume Number
19
Issue Number
1
Pages
75 - 76
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
Cardiology
Additional Departments
Radiology
PMID
DOI
10.1016/j.carrev.2017.05.001