KMID : 0368120110410020105
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Korean Circulation Journal 2011 Volume.41 No. 2 p.105 ~ p.108
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Iatrogenic Left Internal Mammary Artery to Great Cardiac Vein Anastomosis Treated With Coil Embolization
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Jung Il-Soon
Jeong Jin-Ok Kim Song-Soo Shin Byung-Seok Shin Sung-Kyun Park Yong-Kyu Jin Seon-Ah Ahn Kye-Taek Seong In-Whan
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Abstract
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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. Percutaneous transcatheter coil embolization in acquired ACF appears to be a feasible, safe and time-sparing technique.
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KEYWORD
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Coronary Artery Bypass Surgery, Internal Mammary-Coronary Artery Anastomosis, Arteriovenous fistula, Embolization, therapeutic
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