Arteriovenous Fistula; Myocardial Revascularization; Mammary Arteries; Pulmonary Artery
An 80-year-old man was admitted to our hospital because of an acute coronary syndrome. He had undergone coronary artery bypass grafting (CABG) 12 years ago, which involved a left internal mammary artery (LIMA) graft to the left anterior descending coronary artery. Direct LIMA injection revealed an arteriovenous fistula between the distal portion of a grossly dilated LIMA graft and the pulmonary vasculature (Panel A). Cardiac computed tomographic angiography (Panels B, C) and volume-rendering technique (Panels D, E, F) revealed an arteriovenous fistula between LIMA and the pulmonary artery.
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Sources of FundingThere were no external funding sources for this study.
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Study AssociationThis study is not associated with any thesis or dissertation work.
Publication Dates
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Publication in this collection
Nov 2014
History
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Received
07 June 2014 -
Reviewed
11 Aug 2014 -
Accepted
11 Aug 2014