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

Affiliations
  • 1Department of Pediatrics, Sejong Cardiovascular Center, Sejong General Hospital, Bucheon, Korea. amyjys@naver.com
  • 2Department of Pediatrics, Pohang Sunlin Hospital, Pohang, Korea.

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

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

  • 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.

  • 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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2. Kirke R, Keal R, Hickey M. Internal mammary artery-to-vein fistula diagnosed by multidetector computed tomography angiography. Eur J Cardiothorac Surg. 2007. 32:165.
3. Moura R, Uflacker R, Yoshida WB, Rollo HA, Lastoria S, Maffei FH. Arteriovenous fistula between the right internal mammary artery and the subclavian vein: percutaneous closure with detachable balloon-catheter embolization. Cardiovasc Surg. 1993. 1:86–88.
4. Zullo MA, Wallerson DC, Lang S. Formation and spontaneous closure of arteriovenous fistula after transvenous pacemaker placement. Chest. 1991. 100:572–574.
5. Lee SJ, Lee S, Kim KS, et al. Four cases of management of congenital coronary arteriovenous fistula. Korean Circ J. 2002. 32:163–169.
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