The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Percutaneous closure of an iatrogenic aortocoronary venous fistula after coronary bypass graft surgery

EuroIntervention 2016;12:e1010 published online e-edition October 2016. DOI: 10.4244/EIJV12I8A165

Royal Stoke University Hospital, University Hospitals of North Midlands, Stoke-on-Trent, United Kingdom

The patient was a 76-year-old male under regular cardiology follow-up for progressive shortness of breath secondary to an iatrogenic aortocoronary venous fistula following coronary artery bypass surgery in 2002. He also had an ICD implanted in 2012. Computerised tomographic (CT) and invasive diagnostic angiography are shown in Panel A and Panel B, respectively. The patient was discussed in our joint cardiology and cardiothoracic team meeting, which concluded that the risks of surgery outweighed any benefit. Therefore, a percutaneous option for closure of the fistula was chosen. The procedure was performed via the right femoral artery, initially with a 6 Fr sheath ...

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