Inadvertent anastomosis of the left internal mammary artery to the great cardiac vein.

作者信息

Saba Shahryar G, Makaryus John N, Kahn Shoshanah, Shah Rakesh, Meraj Perwaiz

机构信息

Multimodality Cardiovascular Imaging Laboratory, Department of Cardiology, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA; Multimodality Cardiovascular Imaging Laboratory, Department of Radiology, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA.

Multimodality Cardiovascular Imaging Laboratory, Department of Cardiology, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA.

出版信息

Cardiovasc Revasc Med. 2018 Jan;19(1 Pt A):75-76. doi: 10.1016/j.carrev.2017.05.001. Epub 2017 May 19.

DOI:10.1016/j.carrev.2017.05.001

PMID:28578897

Abstract

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.

摘要