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INTERNATIONAL ANGIOLOGY

A Journal on Angiology


Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2003 March;22(1):92-4

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: English

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


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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.

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