Korean Circ J.  2011 Mar;41(3):154-155. 10.4070/kcj.2011.41.3.154.

An Adult Case of Internal Mammary Arterio-Venous Fistula

• Song J
• Kim YK
• Kim SJ
• Choi EY
• Shim WS

• KMID: 2225130
• DOI: http://doi.org/10.4070/kcj.2011.41.3.154

Abstract

A left internal mammary artery to vein fistula was found incidentally in a 32-year-old woman with a continuous murmur. There was no significant history of trauma and no cardiac symptoms. A percutaneous embolization with vascular plug and coil was performed.

Keyword

Arteriovenous fistula; Embolization, therapeutic; Cardiac murmurs

MeSH Terms

Adult
Arteriovenous Fistula
Embolization, Therapeutic
Female
Fistula
Heart Murmurs
Humans
Mammary Arteries
Veins

Figure

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  Fig. 1 The angiographic images show a dilated left internal mammary artery with a fistula to the internal mammary vein.

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  Fig. 2 The transcatheter embolization was performed with a vascular plug (black arrow) and another small fistula was detected in an intercostal artery to the internal mammary vein.

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  Fig. 3 The last angiogram demonstrated one vascular plug (black arrow) and two Gianturco coils (white arrow) implanted in fistulous arteries.

Reference

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