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Interventioneller Verschluß einer Fistel zwischen Arteria und Vena thoracica interna nach koronarer Bypassoperation

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Summary

We report a case of an artificial fistula between the internal thoracic artery and vein after coronary artery bypass surgery, anastomosing the left internal thoracic artery to the LAD. Because of symptomatic anterior wall ischaemia due to coronary steal a treatment was mandatory. Instead of surgical correction, this shunt was closed by coil embolization of the venous limb.

Zusammenfassung

Wir berichten über einen Fall einer artefiziellen Fistel zwischen Arteria und Vena thoracica interna nach koronarer Bypassoperation mit Anlage eines IMA-Bypasses auf die LAD. Wegen symptomatischer Ischämie im Vorderwandbereich durch ein koronares Steal-Phänomen bestand die Notwendigkeit zur Revision der Fistel. Als Alternative zur chirurgischen Korrektur wurde diese Fistel interventionell mit einem Coil-Verschluß des venösen Schenkels behandelt.

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Authors and Affiliations

  1. Klinik für Kardiologie und Angiologie, Herzzentrum Duisburg KWK, Gerrickstr. 21, D-47137 Duisburg, DE

    P. Braun, R. Höltgen, E. Stroh, E. May & K. -W. Heinrich

  2. Klinik für Thorax- und Kardiovaskularchirurgie, Herzzentrum Duisburg KWK, Gerrickstr. 21, D-47137 Duisburg, DE

    N. Atmaca & A. Krian

Authors
  1. P. Braun
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  2. R. Höltgen
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  3. E. Stroh
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  4. E. May
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  5. N. Atmaca
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  6. A. Krian
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  7. K. -W. Heinrich
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Additional information

Eingegangen: 31. März 1999, Akzeptiert: 11. Mai 1999

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Braun, P., Höltgen, R., Stroh, E. et al. Interventioneller Verschluß einer Fistel zwischen Arteria und Vena thoracica interna nach koronarer Bypassoperation. Z Kardiol 88, 812–814 (1999). https://doi.org/10.1007/s003920050356

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  • DOI: https://doi.org/10.1007/s003920050356

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