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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Frequency: Bi-Monthly

ISSN 0392-9590

Online ISSN 1827-1839


International Angiology 2003 March;22(1):92-4


Post-sternotomy internal mammary arteriovenous fistula

Haaverstad R. 1, Groves P. H. 2, Pugh N. D. 3, Ruttley M. 4

1 Depart­ment of Car­di­oth­o­rac­ic Surgery, Uni­ver­sity Hos­pi­tal of Wales, Car­diff, UK
2 Depart­ment of Car­di­ol­o­gy, Uni­ver­sity Hos­pi­tal of Wales, Car­diff, UK
3 Depart­ment of Vas­cu­lar Ultra­sound, Uni­ver­sity Hos­pi­tal of Wales, Car­diff, UK
4 Depart­ment of Radiol­o­gy, Uni­ver­sity Hos­pi­tal of Wales, Car­diff, UK

Arter­i­ov­e­nous fis­tu­la from the mam­mary ­artery is a rare com­pli­ca­tion fol­low­ing car­diac sur­gery. The fis­tu­la usu­al­ly devel­ops with­in the first 2 weeks after sur­gery and is initial­ly asymp­to­mat­ic. Typ­i­cal­ly, a con­tin­u­ous machin­ery mur­mur is heard along the par­a­ster­nal bor­der of the chest wall. A ­patient with an arter­i­ov­e­nous fis­tu­la ­between the right inter­nal mam­mary ­artery and mam­mary vein fol­low­ing a com­bined aor­tic valve and cor­o­nary ­bypass oper­a­tion is ­described. A trans­tho­rac­ic ­colour Dop­pler scan led to the diag­no­sis of the fis­tu­la. ­Because of poten­tial late com­pli­ca­tions endo­vas­cu­lar embol­isa­tion of the fis­tu­la was suc­cess­ful­ly per­formed.

language: English


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