Internal mammary to pulmonary artery fistula presenting as early recurrent angina after coronary bypass

Alexandre C. Ferreira, Eduardo De Marchena, Michelle Liester, Afolabi O. Sangosanya

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

A 50-year-old man developed recurrent angina 1 year after coronary artery bypass surgery. The patient was found to have a large fistula involving branches of the internal mammary artery graft and the left pulmonary artery. In the absence of another clear cause for the patient's symptoms, we speculated that our patient's angina and abnormal stress nuclear study were due to coronary steal. In patients with a history of coronary bypass grafting, fistula formation between graft and native vessels should be considered as a possible cause of early recurrent angina.

Original languageEnglish (US)
Pages (from-to)181-182
Number of pages2
JournalArquivos Brasileiros de Cardiologia
Volume79
Issue number2
DOIs
StatePublished - Aug 2002

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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