Elghoul Ziad, Leesar Massoud A
Department of Cardiology, University of Louisville, Louisville, KY 40292, USA.
J Invasive Cardiol. 2007 Jul;19(7):E188-91.
We describe the case of a 61-year-old male who had a critical stenosis of the left anterior descending artery (LAD). Intravascular ultrasound demonstrated that the LAD was attached to a large anterior interventricular vein (AIV). After stenting, a fistula was noted between the LAD and AIV, which was successfully sealed by deploying a covered stent. To our knowledge, this is the first case of iatrogenic arteriovenous fistula between the LAD and AIV that occurred following stenting of the LAD.
我们描述了一名61岁男性患者的病例，该患者左前降支（LAD）存在严重狭窄。血管内超声显示LAD与一条粗大的前室间静脉（AIV）相连。支架置入后，发现LAD与AIV之间存在瘘管，通过置入覆膜支架成功封堵。据我们所知，这是首例LAD支架置入后发生的LAD与AIV之间的医源性动静脉瘘病例。
