Ahmet Barış DURUKAN, Ertuğrul ERCAN, Hakan GÖÇER, Muhammed ABUSHAREKH

Koroner arter baypas greftleme sonrası kalp yetmezliği ve stabil anjinaya neden olan edinsel aorto-koroner venöz fistül kapatılması: Olgu sunumu

Kardiyak vene anastomoz edilen aortokoroner greft sonucu oluşan iyatrojenik aortokoroner venöz fistül, koroner arter baypas greftleme sonrası görülen nadir bir komplikasyondur. Yetmiş beş yaşında erkek hasta ameliyattan altı yıl sonra konjestif kalp yetmezliğinin eşlik ettiği tekrarlayan anjina ile başvurdu. Hastaya edinsel safen ven grefti-kardiyak ven fistülü tanısı kondu. Risk ve fayda değerlendirmesine dayanarak, kalp ekibi vasküler oklüzyon cihazı ile perkütan kapama uygulama kararı aldı. Akabinde, hastanın şikayetleri ve ekokardiyografik bulguları düzeldi.

Closure of an acquired aortocoronary venous fistula after coronary artery bypass grafting causing heart failure and stable angina: A case report

Iatrogenic aortocoronary venous fistula arising fromanastomosing an aortocoronary graft to a cardiac vein is arare a complication following coronary artery bypass grafting.A 75-year-old male patient was admitted with recurrent anginaaccompanied by congestive heart failure six years after surgery.He was diagnosed with an acquired saphenous vein graft-tocardiacvein fistula. Based on the estimation of risks versusbenefits, the heart team decided to perform percutaneous closurewith a vascular occlusion device. Subsequently, complaints andechocardiographic findings of the patient resolved.

PDF

___

1. Gardner JD, Maddox WR, Calkins JB Jr. Iatrogenic aortocoronary arteriovenous fistula following coronary artery bypass surgery: A case report and complete review of the literature. Case Rep Cardiol 2012;2012:652086.
2. Braun P, Höltgen R, Stroh E, May E, Atmaca N, Krian A, et al. Coil embolization of an AV-fistula between the left thoracic artery and vein after coronary artery bypass surgery. Z Kardiol 1999;88:812-4. [Abstract]
3. Ornek E, Kundi H, Kiziltunc E, Cetin M. Treatment of iatrogenic aortocoronary arteriovenous fistula with coronary covered stent. Case Rep Cardiol 2016;2016:9126817.
4. Calkins JB Jr, Talley JD, Kim NH. Iatrogenic aorto-coronary venous fistula as a complication of coronary artery bypass surgery: patient report and review of the literature. Cathet Cardiovasc Diagn 1996;37:55-9.
5. Sreenivasan J, Ayub M, Yadav N, Golzar Y. Rare cause of late recurrent angina following coronary artery bypass grafting: Iatrogenic aortocoronary arteriovenous fistula causing coronary steal. Case Rep Cardiol 2018;2018:6913737.