Native vessel angioplasty as treatment strategy for left internal mammary artery to pulmonary vasculature fistula producing coronary steal phenomenon

Sasidharan, Bijulal; Namboodiri, Narayanan; Nair, Kalyani; Ajitkumar, V.K.

doi:10.1016/j.ijcard.2007.08.105

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…In our case, stenting of the native coronary vessel percutaneously revealed to be a good option to treat the vein graft to pulmonary artery fistula. To our knowledge, native vessel percutaneous coronary intervention as a treatment strategy for fistula causing coronary steal phenomenon has only been reported once [12].…”

Section: Discussionmentioning

confidence: 99%

Coronary Steal due to Great Saphenous Vein Graft and Pulmonary Vasculature Fistula Managed by Coronary Angioplasty

Gerges¹,

Feghali²,

M³

et al. 2016

JCR

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Formation of fistulous connection between great saphenous vein graft and pulmonary vasculature after coronary artery bypass graft (CABG) is a rare event, which can result in recurrence of symptoms ranging from stable angina to myocardial infarction related to coronary steal phenomenon. We hereby report a case of a 63 years old man who was detected to have such a fistulous communication leading to coronary steal syndrome as the cause of effort angina 12 years after CABG. Coronary angioplasty and stenting of left anterior descending artery resulted in resolution of symptoms.

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Section: Discussionmentioning

confidence: 99%

Coronary Steal due to Great Saphenous Vein Graft and Pulmonary Vasculature Fistula Managed by Coronary Angioplasty

Gerges¹,

Feghali²,

M³

et al. 2016

JCR

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“…13,21,25 Management options for LIMA-to-PA fistulae include conservative medical therapy, coil embolization, percutaneous angioplasty with stenting, and surgical ligation. [20][21][22][23]25,26 No one treatment yields clear benefits; the management approach depends on physician and institutional experience. Some authors recommend starting with conservative management and progressing to more invasive treatment options, 23 whereas others advocate a conservative approach over invasiveness except when the fistula causes substantial symptoms or grows in size.…”

Section: Discussionmentioning

confidence: 99%

Multiple Left Internal Mammary Artery-to-Pulmonary Artery Fistulae 15 Years after Coronary Artery Bypass Grafting

Barot

LaPietra²,

Santana³

et al. 2014

Texas Heart Institute Journal

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Left internal mammary artery (LIMA)-to-pulmonary artery fistulae rarely develop after coronary artery bypass grafting. Fewer than 30 cases of these fistulae have been reported since 1947. Nevertheless, this entity should be considered as a cause of recurrent angina after bypass surgery, in the absence of other causes. We present the case of a 67-year-old man with cardiac symptoms in whom multiple LIMA-to-pulmonary artery fistulae were found, 15 years after he had undergone coronary artery bypass grafting. The diagnosis was confirmed by means of coronary angiography with selective catheterization of the LIMA and by computed tomographic angiography of the heart. The patient underwent reoperative 2-vessel coronary artery bypass grafting and ligation of multiple fistulae; 16 months postoperatively, he was asymptomatic and doing well. In addition to reporting this case, we discuss relevant diagnostic and treatment considerations.

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“…Surgical ligation of the fistula requires thoracotomy or sternotomy, and may sometimes be complicated by trauma to the LIMA graft. Native coronary artery stenting 12 or direct sealing of the communication 13 has been proposed, using either platinum coil spring remobilization, 14 covered stents with bovine pericardium, 15 or synthetic material (PTFE) 13 . The former technique carries a higher risk of thrombosis or distal remobilization.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of an Internal Mammary Artery to Pulmonary Artery Acquired Fistula

Anastasiadis¹,

Koulaksis

Velissaris

et al. 2010

Journal of Cardiac Surgery

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Native vessel angioplasty as treatment strategy for left internal mammary artery to pulmonary vasculature fistula producing coronary steal phenomenon

Cited by 6 publications

References 6 publications

Coronary Steal due to Great Saphenous Vein Graft and Pulmonary Vasculature Fistula Managed by Coronary Angioplasty

Coronary Steal due to Great Saphenous Vein Graft and Pulmonary Vasculature Fistula Managed by Coronary Angioplasty

Multiple Left Internal Mammary Artery-to-Pulmonary Artery Fistulae 15 Years after Coronary Artery Bypass Grafting

Endovascular Repair of an Internal Mammary Artery to Pulmonary Artery Acquired Fistula

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