PERCUTANEOUS OCCLUSION OF AN IATROGENIC AORTOSAPHENOUS VEIN-CORONARY VEIN FISTULA VIA RETROGRADE CORONARY SINUS APPROACH

Inadvertent aortosaphenous vein graft-coronary vein anastomosis during coronary bypass surgery is an uncommon complication. We describe a ca se of aortosaphenous vein side-to-side anastomosis to an obtuse margin al vein resulting in a large arteriovenous fistula and elective closur e, using embolization coils delivered percutaneously via the coronary sinus. The clinical findings, interventional procedure, and follow-up are also presented, with a discussion of alternative techniques used p reviously to treat iatrogenic aortosaphenous vein graft venous fistula e. (C) 1996 Wiley-Liss, Inc.