Traumatic Arteriovenous Fistula of the Internal Mammary Vessels

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

• 1 Senno A, Schweitzer P, Merrill C A, Clauss R. Arteriovenous fistulas of the internal mammary artery.  J Cardiovasc Surg. 1975;  16 296-301
• 2 Glenn F, Steinberg I. Arteriovenous fistula of the right internal mammary vessels following radical mastectomy; visualization by angiocardiography.  J Thorac Surg. 1957;  33 (6) 719-722
• 3 Bracke F A, van Gelder B, Meijer A. Arteriovenous fistula after injury of the left internal mammary artery during extraction of pacemaker leads with a laser sheath.  Pacing Clin Electrophysiol. 1999;  22 (5) 833-834
• 4 Brownlee W E, McGannon P T. Arteriovenous fistula between the internal mammary artery and vein following stab wound of the chest: a case report.  J Thorac Cardiovasc Surg. 1959;  38 271-273
• 5 Al-Qudah A H. Traumatic internal mammary arteriovenous fistula. A case report and review of the literature.  Thorac Cardiovasc Surg. 1988;  36 (3) 164-166
• 6 Ito T, Sakamoto T, Norio H, Kaji T, Okada Y. An arteriovenous fistula between the internal mammary artery and the pulmonary vein following blunt chest trauma.  Cardiovasc Intervent Radiol. 2005;  28 (1) 120-123
• 7 Greenfield L J, Hatcher Jr C R. Post-traumatic internal mammary arteriovenous fistula: diagnostic considerations and report of a case.  Ann Surg. 1963;  158 129-130
• 8 Monrand P, Masson D, Charbonnier B, Lavigne G, Brehier J. Iatrogenic arteriovenous fistula from the internal mammary artery. Spontaneous closure.  Arch Mal Coeur Vaiss. 1981;  74 105-110