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Joel A. Johnson
Richard Schmaltz
Rodney J. Landreneau
Jack J. Curtis
Joseph T. Walls
Weerachai Nawarawong
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Ann Thorac Surg 1990;50:297-298
© 1990 The Society of Thoracic Surgeons

Articles

Internal mammary artery graft to pulmonary vasculature fistula: A cause of recurrent angina

Joel A. Johnson, MD*, Richard Schmaltz, MD, Rodney J. Landreneau, MD, William P. Wright, MD, Jack J. Curtis, MD, Joseph T. Walls, MD, Weerachai Nawarawong, MD

Division of Cardiothoracic Surgery, University of Missouri, Columbia, Missouri, USA

Accepted for publication January 30, 1990.

* Address reprint requests to Dr Johnson, Division of Cardiothoracic Surgery, MA312, Department of Surgery, University of Missouri, One Hospital Dr, Columbia, MO 65212.

Recurrent angina pectoris developed in a 59-year-old man 3 years after coronary artery bypass grafting using the left internal mammary artery. Cardiac catheterization showed a fistula between the left internal mammary artery and the pulmonary vasculature. This is an unusual documented case of postoperative internal mammary artery graft to pulmonary vasculature fistula after coronary artery bypass grafting. Division of this fistulous communication resulted in resolution of the patient's angina.




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