Invasive Management of Iatrogenic Left Internal Mammary Artery-Great Cardiac Vein Anastomosis: A Case Report.

Reşit Yiğit Yılancıoglu, Oğuzhan Ekrem Turan, Hatice Özdamar, Hüseyin Dursun, Emin Evren Özcan, Dayimi Kaya
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Abstract

Coronary artery bypass graft (CABG) surgery is one of the main treatment procedures for revascularization. Diagnosing postoperative complications can be difficult. One rare complication is the iatrogenic connection of the graft to the venous system, causing distal ischemia due to an arteriovenous shunt. This condition may lead to heart failure and fatal arrhythmias. Anti-arrhythmic drug-resistant ventricular arrhythmias, which can occur immediately after coronary artery bypass surgery, are sometimes related to the procedure itself. We describe the invasive management of an iatrogenic anastomosis between the left internal mammary artery (LIMA) and the great cardiac vein (GCV), which led to life-threatening ventricular arrhythmias.

医源性左内乳动脉-心大静脉吻合有创治疗1例。
冠状动脉旁路移植术(CABG)是血管重建术的主要治疗方法之一。诊断术后并发症是很困难的。一种罕见的并发症是移植物与静脉系统的医源性连接,由于动静脉分流引起远端缺血。这种情况可能导致心力衰竭和致命的心律失常。抗心律失常耐药性室性心律失常可在冠状动脉搭桥手术后立即发生,有时与手术本身有关。我们描述了左乳腺内动脉(LIMA)和心大静脉(GCV)之间的医源性吻合的侵入性治疗,这导致了危及生命的室性心律失常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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