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Thorac Cardiovasc Surg 2009; 57(7): 422-424
DOI: 10.1055/s-2008-1039268
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© Georg Thieme Verlag KG Stuttgart · New York

Traumatic Arteriovenous Fistula of the Internal Mammary Vessels

C. Yerebakan1 , B. Westphal1 , J.-C. Kröger2 , G. Steinhoff1
  • 1Department of Cardiac Surgery, Medical Faculty, University of Rostock, Rostock, Germany
  • 2Department of Interventional and Diagnostic Radiology, Medical Faculty, University of Rostock, Rostock, Germany
Further Information

Publication History

received September 14, 2008

Publication Date:
30 September 2009 (online)

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Abstract

An uncommon case of traumatic arteriovenous fistula of the left internal mammary artery following penetrating chest trauma is presented. The patient developed a left parasternal machinery murmur six days after thoracotomy to repair a pericardial tamponade after a penetrating left parasternal stab wound. Selective digital subtraction angiography revealed pseudoaneurysm formation with fistulous connection of the left internal mammary artery to the adjacent vein. The fistula was successfully occluded with coil embolization.

Key words

Arteries - arteriovenous fistula - pericardium - wounds - penetrating - left internal thoracic artery

References

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Dr. MD Can Yerebakan

University of Rostock
Department of Cardiac Surgery

Schillingallee 35

18057 Rostock

Germany

Phone: + 49 (0) 38 14 94 61 01

Fax: + 49 (0) 38 14 94 61 02

Email: can.yerebakan@med.uni-rostock.de