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

Groh, W J; Hovaguimian, H; Morton, M J · Ann Thorac Surg · 1994

case_report · Level V

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Abstract

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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