Iatrogenic left internal mammary artery to great cardiac vein anastomosis treated with coil embolization

Il Soon Jung1, Jin-Ok Jeong, Song Soo Kim

  • 1Division of Cardiology, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.

Inadvertent left internal mammary artery (LIMA)-great cardiac vein (GCV) anastomosis is a rare complication of coronary artery bypass graft surgery. Patients with iatrogenic aortocoronary fistula (ACF) were usually treated surgical repair, percutaneous embolic occlusion with coil or balloon. We report a case of iatrogenic LIMA to GCV anastomosis successfully treated with coil embolization and protected left main coronary intervention through the percutaneous transfemoral approach.

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