An iatrogenic coronary arteriovenous fistula causing a steal phenomenon: an intracoronary Doppler study.
作者信息
Wexberg P, Gottsauner-Wolf M, Kiss K, Steurer G, Glogar D
机构信息
Department of Cardiology, Clinic for Internal Medicine II, University of Vienna, Austria.
出版信息
Clin Cardiol. 2001 Sep;24(9):630-2. doi: 10.1002/clc.4960240912.
Abstract
We present the case of a 67-year-old man in whom a guidewire broke at rotablation of the right coronary artery, creating an iatrogenic aneurysmal arteriovenous fistula to the coronary sinus. Successful Doppler wire-guided fistula occlusion by percutaneous coil embolization lead to normalization of coronary blood flow and relief of the patient's symptoms. Myocardial ischemia in this patient may have been due to a steal phenomenon caused by coronary artery fistulae, as suggested by blood flow velocity data obtained before and after fistula occlusion.
摘要
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