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Int J Angiol 2017; 26(03): 201-204
DOI: 10.1055/s-0037-1601873
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Iatrogenic Great Cardiac Vein Anastomosis during Coronary Artery Bypass Surgery

Alireza Bagherli
1   Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
,
Hilary Bews
2   Institute of Cardiovascular Sciences, University of Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
,
Minh Vo
1   Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
,
John Ducas
1   Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
,
Davinder S. Jassal
1   Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
2   Institute of Cardiovascular Sciences, University of Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
3   Department of Radiology, University of Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
,
Amir Ravandi
1   Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
2   Institute of Cardiovascular Sciences, University of Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
› Author Affiliations
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Publication History

Publication Date:
16 April 2017 (online)

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Abstract

Inadvertent anastomosis of the left internal mammary artery (LIMA) or a saphenous vein graft (SVG) to the great cardiac vein (GCV) is a rare complication of coronary artery bypass grafting (CABG). We present two cases with a LIMA to GCV and a SVG to GCV anastomosis, respectively, resulting in angina and dyspnea in the postoperative state. As an alternative to repeat CABG, both patients underwent percutaneous coronary intervention with percutaneous coil embolization or implantation of an Amplatzer vascular plug within the bypass graft to GCV conduit. This report highlights that percutaneous options exist for the relief of ischemic symptoms in this rare clinical setting.

Keywords

angioplasty - cardiac catheterization - cardiac surgery - coil embolization - coronary intervention - ischemia - non-ST elevation myocardial infarction
 

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