open access

Vol 16, No 5 (2009)
Case Reports
Published online: 2009-07-31
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Transpulmonary closing of left internal mammary artery to pulmonary artery fistula with polytetrafluoroethylene covered stent: A case report and review of literature

Peiman Jamshidi, Samad Ghaffari, Khalil Mahmoodi
Cardiol J 2009;16(5):469-472.

open access

Vol 16, No 5 (2009)
Case Reports
Published online: 2009-07-31

Abstract

Internal mammary artery (IMA) to pulmonary vasculature fistula is a rare condition that can be congenital or associated with coronary artery bypass grafting surgery (CABG), trauma, inflammation, or neoplasia. This complication may cause myocardial ischemia. CABG with an IMA conduit accounts for most iatrogenic cases, thus this problem may be encountered more in the future as the number of patients undergoing CABG and redo-CABG increases. The natural history of IMA-to-pulmonary artery (PA) fistulas is unknown and therefore optimal treatment remains controversial. We describe a case of left IMA-to-PA fistula treated with balloon expandable covered stent with a transpulmonary approach, and we review previously reported cases.

Abstract

Internal mammary artery (IMA) to pulmonary vasculature fistula is a rare condition that can be congenital or associated with coronary artery bypass grafting surgery (CABG), trauma, inflammation, or neoplasia. This complication may cause myocardial ischemia. CABG with an IMA conduit accounts for most iatrogenic cases, thus this problem may be encountered more in the future as the number of patients undergoing CABG and redo-CABG increases. The natural history of IMA-to-pulmonary artery (PA) fistulas is unknown and therefore optimal treatment remains controversial. We describe a case of left IMA-to-PA fistula treated with balloon expandable covered stent with a transpulmonary approach, and we review previously reported cases.
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Keywords

fistula; mammary artery; covered stent

About this article
Title

Transpulmonary closing of left internal mammary artery to pulmonary artery fistula with polytetrafluoroethylene covered stent: A case report and review of literature

Journal

Cardiology Journal

Issue

Vol 16, No 5 (2009)

Pages

469-472

Published online

2009-07-31

Bibliographic record

Cardiol J 2009;16(5):469-472.

Keywords

fistula
mammary artery
covered stent

Authors

Peiman Jamshidi
Samad Ghaffari
Khalil Mahmoodi

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