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Eur J Cardiothorac Surg 2001;20:1258-1260
© 2001 Elsevier Science NL

Case report

Post-coronary artery bypass grafting left internal mammary artery to pulmonary artery fistula: a 6 year follow-up following successful surgical division

Department of Cardiothoracic Surgery, South Manchester University Hospital, Wythenshaw, UK

Received 1 June 2001; received in revised form 28 August 2001; accepted 7 September 2001.

Corresponding author. 109 Gawsworth Road, Sale, Cheshire M33 2UZ, UK.
e-mail: ghassan{at}doctors.net.uk

We report a case of young male patient who developed left internal mammary artery to pulmonary artery fistula 9 years following the coronary artery bypass grafting operation. The clinical signs and symptoms were very subtle including recurrence of angina and heart murmur. Surgical division of the fistula and re-grafting of blocked coronary arteries resulted in satisfactory long term outcome.

Key Words: Mammary artery • Pulmonary fistual • Arteriovenous fistula • Coronary steal syndrome

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				A. Hakeem, S. Bhatti, E. M. Williams, T. Biring, P. Kosolcharoen, and Su Min Chang Coronary Steal Due to Bilateral Internal Mammary Artery--Pulmonary Artery Fistulas: A Rare Cause of Chest Pain After Coronary Artery Bypass Grafting Angiology, May 1, 2008; 59(2): 244 - 247. [Abstract] [PDF]

				S. Garrean, C. Tshibaka, Z. Hanhan, A. S. Geha, and M. G. Massad Coronary-pulmonary steal caused by internal thoracic artery-pulmonary artery fistula after coronary artery bypass operations J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 569 - 571. [Full Text] [PDF]