AI Article Synopsis
- Inadvertent anastomosis between the left internal mammary artery and coronary sinus is a rare but serious complication that can happen during coronary artery bypass graft surgery.
- Management options for this complication are debated and include conservative care, surgical intervention, and endovascular methods.
- The case presented discusses the successful treatment of this condition using detachable coil embolization, highlighting how this method allows for better precision in placement, which is crucial due to difficulties like high blood flow and the risk of coil migration.
Article Abstract
Inadvertent left internal mammarian artery to coronary sinus anastomosis is a rare complication of coronary artery by-pass graft surgery. Management of this iatrogenic complication is controversial with conservative, surgical and endovascular options possible. Endovascular treatment offers a minimally invasive approach with a wide variety of embolic agents with different success rates. Herein we present a case of an iatrogenic left internal mammarian artery to coronary sinus anastomosis treated by detachable coil embolization. Use of detachable coil offers more precise deployment that is essential in the treatment of an iatrogenic left internal mammarian artery to coronary sinus anastomosis which can present challenges due to high flow rates and coil migration.
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| http://dx.doi.org/10.1016/j.hjc.2016.03.008 | DOI Listing |
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