Iatrogenic anastomosis of the internal mammary artery with the great cardiac vein: The first documented case report in Palestine with a literature review

Iatrogenic aortocoronary arteriovenous fistula is a rare but important complication of CABG, which can lead to significant clinical symptoms. Early diagnosis through coronary angiography is crucial for guiding appropriate management. Although percutaneous intervention with drug-eluting stents effectively resolved the patient's angina by treating the native LAD stenosis, it is critical to recognize that this approach did not address the underlying LIMA-GCV fistula, which requires separate evaluation and management.

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Publication Details

Journal
Medicine
Published
2025-08-08
DOI
https://doi.org/10.1097/md.0000000000043670
Primary Topic
Cardiac tumors and thrombi
Type
article
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article

Iatrogenic anastomosis of the internal mammary artery with the great cardiac vein: The first documented case report in Palestine with a literature review

Maya Sabboh, Haya Jebreen Mohammed Warasna, Baha Alhadad, Mohammad Yaser Hasan Awad et al.
Medicine
Cardiac tumors and thrombi
article

Iatrogenic anastomosis of the internal mammary artery with the great cardiac vein: The first documented case report in Palestine with a literature review

Maya Sabboh, Haya Jebreen Mohammed Warasna, Baha Alhadad, Mohammad Yaser Hasan Awad, Qusai Zreqat, Bashar Yaser Hasan Awad, Ahmad J. Warasna
article en

Abstract

Iatrogenic aortocoronary arteriovenous fistula is a rare but important complication of CABG, which can lead to significant clinical symptoms. Early diagnosis through coronary angiography is crucial for guiding appropriate management. Although percutaneous intervention with drug-eluting stents effectively resolved the patient's angina by treating the native LAD stenosis, it is critical to recognize that this approach did not address the underlying LIMA-GCV fistula, which requires separate evaluation and management.

MedicineVol. 104(32)
Latakia University (SY), Al-Quds University (PS), Sumy State University (UA), Palestine Polytechnic University (PS), Al-Ahli Hospital (QA)
Openalex Percentile: Top 68%
Cardiac tumors and thrombi
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Iatrogenic anastomosis of the internal mammary artery with the great cardiac vein: The first documented case report in Palestine with a literature review — Maya Sabboh, Haya Jebreen Mohammed Warasna, et al. · Medicine (2025) | TGRS Research Map | TGRS