Abstract
An abnormal communication between an artery of the systemic circulation and a pulmonary artery represents a rare clinical condition. A 76-year-old man presented with nocturnal dyspnea and retrosternal pain caused by a non-ST-elevation acute coronary syndrome. He had a history of a coronary artery bypass grafting operation 17 years previously, which required a repeat procedure 7 years later with a construction of an anastomosis of the left internal thoracic artery to the left anterior descending artery. Coronary angiography revealed an abnormal fistulous communication between the left axillary and the left pulmonary artery. Pressure measurements revealed pulmonary hypertension. An endovascular repair of the fistula was performed during repeat coronary angiography with an implantation of two self-expandable covered polytetrafluoroethylene stent grafts measuring 9 and 10 mm in diameter respectively, and thus resulting in a complete obstruction of the abnormal communication. During a follow-up period of 2 months the patient showed a significant improvement in his clinical condition.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
HB Burchell OT Clagett (1947) ArticleTitleThe clinical syndrome associated with pulmonary arteriovenous fistulas, including a case report of a surgical cure Am Heart J 34 151 Occurrence Handle10.1016/0002-8703(47)90284-6 Occurrence Handle1:STN:280:DyaH2s%2Fhs1OksQ%3D%3D Occurrence Handle20255259
G Riehl P Chaffanjon G Frey C Sessa YP Brichon (2003) ArticleTitlePostoperative systemic artery to pulmonary vessel fistula: analysis of three cases Ann Thorac Surg 76 1873–7 Occurrence Handle14667603 Occurrence Handle10.1016/S0003-4975(03)01056-7
SM Tadavarthy J Klugman WR Castaneda-Zuniga PH Nath K Amplatz (1982) ArticleTitleSystemic-to-pulmonary collaterals in pathological states Radiology 144 55–9 Occurrence Handle7089266 Occurrence Handle1:STN:280:DyaL383it12ktA%3D%3D
DS Ryu NH Kim SM Jung JK Kim MS Park (1998) ArticleTitleTranspleural subclavian artery to pulmonary artery anastomosis J Comput Assist Tomogr 22 922–4 Occurrence Handle9843234 Occurrence Handle10.1097/00004728-199811000-00016 Occurrence Handle1:STN:280:DyaK1M%2Flslelug%3D%3D
JD Abbott JJ Brennan MS Remetz (2004) ArticleTitleTreatment of a left internal mammary artery to pulmonary artery fistula with polytetrafluoroethylene covered stents Cardiovasc Intervent Radiol 27 74–6 Occurrence Handle15109235 Occurrence Handle10.1007/s00270-003-2751-5
C Blanche N Eigler CN Bairey (1991) ArticleTitleInternal mammary artery to lung parenchyma fistula after aortocoronary bypass grafting Ann Thorac Surg 52 141–2 Occurrence Handle2069446 Occurrence Handle1:STN:280:DyaK3M3pvVOruw%3D%3D Occurrence Handle10.1016/0003-4975(91)91442-X
JL Nielson PS Kang (2006) ArticleTitleEndovascular treatment of a coronary artery bypass graft to pulmonary artery fistula with coil embolization Cardiovasc Intervent Radiol 29 302–5 Occurrence Handle16228847 Occurrence Handle10.1007/s00270-005-0078-0
E Criado WA Marston J Ligush MA Mauro BA Keagy (1997) ArticleTitleEndovascular repair of peripheral aneurysms, pseudoaneurysms and arteriovenous fistulas Ann Vasc Surg 11 256–63 Occurrence Handle9140600 Occurrence Handle10.1007/s100169900043 Occurrence Handle1:STN:280:DyaK2s3osFentw%3D%3D
PR Hilfiker MK Razavi ST Kee DY Sze CP Semba MD Dake (2000) ArticleTitleStent-graft therapy for subclavian artery aneurysms and fistulas: Single-center mid-term results JVIR 11 578–84 Occurrence Handle10834488 Occurrence Handle1:STN:280:DC%2BD38vot1Gitg%3D%3D
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hadjimiltiades, S., Antonitsis, P., Kaitzis, D. et al. Endovascular Repair of a Left Axillary–Left Pulmonary Artery Fistula: Report of a Case. Surg Today 37, 980–983 (2007). https://doi.org/10.1007/s00595-007-3503-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-007-3503-y