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Ann Thorac Surg 1991;52:141-142
© 1991 The Society of Thoracic Surgeons

Articles

Internal mammary artery to lung parenchyma fistula after aortocoronary bypass grafting

Carlos Blanche, MD*, Neal Eigler, MD, C.Noel Bairey, MD

Department of Thoracic and Cardiovascular Surgery and Division of Cardiology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California USA

Accepted for publication December 6, 1990.

* Address reprint requests to Dr Blanche, Department of Thoracic and Cardiovascular Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Suite 6215, Los Angeles, CA 90048.

Two unusual cases of internal mammary artery fistulization to lung parenchyma after coronary revascularization are reported. They were incidentally discovered during coronary angiography, and one of them was successfully closed with a percutaneous transvenous coil-spring occluder. The cause is thought to be the direct contact between the dissected mammary artery pedicle and the lung parenchyma.




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