Iatrogenic Great Cardiac Vein Anastomosis during Coronary Artery Bypass Surgery

Alireza Bagherli; Hilary Bews; Minh Vo; John Ducas; Davinder S. Jassal; Amir Ravandi

doi:10.1055/s-0037-1601873

International Journal of Angiology, Table of Contents

Int J Angiol 2017; 26(03): 201-204
DOI: 10.1055/s-0037-1601873

Case Report

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Iatrogenic Great Cardiac Vein Anastomosis during Coronary Artery Bypass Surgery

Alireza Bagherli

¹Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

,

Hilary Bews

²Institute of Cardiovascular Sciences, University of Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada

,

Minh Vo

¹Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

,

John Ducas

¹Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

,

Davinder S. Jassal

¹Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

²Institute of Cardiovascular Sciences, University of Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada

³Department of Radiology, University of Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada

,

Amir Ravandi

¹Section of Cardiology, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

²Institute of Cardiovascular Sciences, University of Manitoba, St. Boniface General Hospital, Winnipeg, Manitoba, Canada

› Author Affiliations

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

Full Text

References

References
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