Iatrogenic aortocoronary arteriovenous fistula
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Iatrogenic aortocoronary arteriovenous fistula (ACAVF) is an unusual complication of CABG that results from grafting an artery to a cardiac vein. Coiling or balloon embolisation to occlude the fistula, combined with stenting of the ungrafted artery, is the standard approach in symptomatic patients . In our case, stenting of the ungrafted vessel without occlusion of the ACAVF yielded good results.
Conflict of interest
Y. Saleh, A. Almaghraby, B. Hammad, O. Abdelkarim, M. Abdelnaby, K. Herzallah and T. Elzawawy declare that they have no competing interests.
Video 1 Coronary angiogram showing a left internal mammary artery grafted into the great cardiac vein which drains into the coronary sinus
Video 2 Coronary angiogram showing a left internal mammary artery grafted into the great cardiac vein which drains into the coronary sinus
Video 3 Coronary angiogram showing a tight lesion in the left anterior descending artery
Video 4 Coronary angiogram showing a widely patent stent in the left anterior descending artery
- 1.Gardner JD, Maddox WR, Calkins JB. Iatrogenic aortocoronary arteriovenous fistula following coronary artery bypass surgery: a case report and complete review of the literature. Case Rep Cardiol. 2012;2012:9.Google Scholar
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