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The Annals of Thoracic Surgery, Vol 57, 1642-1643, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Bilateral internal mammary-to-pulmonary artery fistulas after a coronary operation

WJ Groh, H Hovaguimian and MJ Morton
Division of Cardiology, Oregon Health Science University, Portland 97201-3098.

A case of bilateral internal mammary artery-to-pulmonary artery fistulas presenting as recurrent angina late after revascularization is described. Objective evidence of ischemia was documented using stress electrocardiography and thallium-201 scintigraphy. The patient was managed conservatively to date with medical therapy. Fistula formation may complicate internal mammary artery bypass grafting and should be considered as a potential cause of recurrent angina.


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