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Percutaneous Revascularization of the Left Anterior Descending Artery Territory

Video 4 of 5 in Series "Iatrogenic Aortocoronary Arteriovenous Fistula following Coronary Artery Bypass Surgery"

Description

Percutaneous intervention with placement of three drug-eluting stents in the left main and proximal left anterior descending (LAD) arteries results in revascularization of the LAD territory before coil occlusion of the left internal mammary artery that was inadvertently anastomosed to the great cardiac vein.

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This image is part of the series "Iatrogenic Aortocoronary Arteriovenous Fistula following Coronary Artery Bypass Surgery"

Other images in this series

Iatrogenic Aortocoronary Arteriovenous Fistula following Coronary Artery Bypass Surgery

by: Aaron Gopal, MD; Joe B. Calkins Jr, MD

Invasive angiography of an inadvertently bypassed coronary vein. Injection of the left internal mammary arterial graft results in filling of the great cardiac vein and the coronary sinus.

Iatrogenic Aortocoronary Arteriovenous Fistula due to an Inadvertently Bypassed Coronary Vein

by: Aaron Gopal, MD; Joe B. Calkins Jr, MD

Invasive angiography of an inadvertently bypassed coronary vein. Injection of the left internal mammary arterial graft results in filling of the great cardiac vein and the coronary sinus.

Coil Embolization of the Graft to the Inadvertently Bypassed Coronary Vein

by: Aaron Gopal, MD; Joe B. Calkins Jr, MD

Coil embolization of the bypass graft of coronary vein. Coils are placed percutaneously in the proximal portion of the left internal mammary arterial graft that was inadvertently anastomosed to the great cardiac vein in order to occlude the graft.

Complete Occlusion of the Graft to the Inadvertently Bypassed Coronary Vein Following Coil Embolization

by: Aaron Gopal, MD; Joe B. Calkins Jr, MD

Graft angiography following coil embolization of the bypass graft to the coronary vein. Coils are present in the proximal portion of the left internal mammary arterial graft that was inadvertently anastomosed to the great cardiac vein and result in complete occlusion of the graft in its proximal segment.