scholarly journals Post-coronary artery bypass grafting left internal mammary artery to pulmonary artery fistula: a 6 year follow-up following successful surgical division

2001 ◽  
Vol 20 (6) ◽  
pp. 1258-1260 ◽  
Author(s):  
G. Musleh ◽  
Anjum Jalal ◽  
A.K. Deiraniya
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Pulmonary Artery ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Internal Mammary ◽  
Pulmonary Artery Fistula

scholarly journals Multiple Left Internal Mammary Artery-to-Pulmonary Artery Fistulae 15 Years after Coronary Artery Bypass Grafting

2014 ◽  
Vol 41 (1) ◽  
pp. 94-96 ◽  
Author(s):  
Tushar C. Barot ◽  
Angelo LaPietra ◽  
Orlando Santana ◽  
Nirat Beohar ◽  
Joseph Lamelas
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Pulmonary Artery ◽  
Coronary Artery Bypass ◽  
Internal Mammary Artery ◽  
Left Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Internal Mammary

Left internal mammary artery (LIMA)-to-pulmonary artery fistulae rarely develop after coronary artery bypass grafting. Fewer than 30 cases of these fistulae have been reported since 1947. Nevertheless, this entity should be considered as a cause of recurrent angina after bypass surgery, in the absence of other causes. We present the case of a 67-year-old man with cardiac symptoms in whom multiple LIMA-to-pulmonary artery fistulae were found, 15 years after he had undergone coronary artery bypass grafting. The diagnosis was confirmed by means of coronary angiography with selective catheterization of the LIMA and by computed tomographic angiography of the heart. The patient underwent reoperative 2-vessel coronary artery bypass grafting and ligation of multiple fistulae; 16 months postoperatively, he was asymptomatic and doing well. In addition to reporting this case, we discuss relevant diagnostic and treatment considerations.

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