Closure of an acquired aortocoronary venous fistula after coronary artery bypass grafting causing heart failure and stable angina: A case report

Hakan Göçer

doi:10.5606/tgkdc.dergisi.2019.18381

Hakan Göçer¹, Muhammed Abusharekh², Ertugrul Ercan², Ahmet Barış Durukan³

¹Department of Cardiology, MedicalPark Uşak Hospital, Uşak, Turkey
²Department of Cardiology, MedicalPark İzmir Hospital, Uşak, Turkey
³Department of Cardiovascular Surgery, MedicalPark Uşak Hospital, Uşak, Turkey

DOI : 10.5606/tgkdc.dergisi.2019.18381

Iatrogenic aortocoronary venous fistula arising from anastomosing an aortocoronary graft to a cardiac vein is a rare a complication following coronary artery bypass grafting. A 75-year-old male patient was admitted with recurrent angina accompanied by congestive heart failure six years after surgery. He was diagnosed with an acquired saphenous vein graft-tocardiac vein fistula. Based on the estimation of risks versus benefits, the heart team decided to perform percutaneous closure with a vascular occlusion device. Subsequently, complaints and echocardiographic findings of the patient resolved.

Keywords : Arteriovenous fistula; cardiac vein; coronary artery bypass grafting; vascular closure device

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