Internal mammary vein to coronary artery anastomotic fistula |
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Authors: | CN Aroney MB Davison EG Stafford MF O'Brien |
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Affiliation: | Department of Cardiology, Prince Charles Hospital, Chermside, Queensland, Australia. |
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Abstract: | Two patients are presented where internal mammary artery grafting was performed for the relief of symptomatic coronary artery disease. At follow-up the internal mammary artery was occluded and a communication between the internal mammary vein and the native coronary artery was demonstrated. These patients were characterised by the early recurrence of angina or the appearance of a continuous murmur. Both patients were treated by re-operation with ligation of the arterio-venous fistula and saphenous vein grafting. |
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