Wexberg P, Gottsauner-Wolf M, Kiss K, Steurer G, Glogar D. An iatrogenic coronary arteriovenous fistula causing a steal phenomenon: an intracoronary Doppler study.
Clin Cardiol 2009;
24:630-2. [PMID:
11558847 PMCID:
PMC6654971 DOI:
10.1002/clc.4960240912]
[Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
We present the case of a 67-year-old man in whom a guidewire broke at rotablation of the right coronary artery, creating an iatrogenic aneurysmal arteriovenous fistula to the coronary sinus. Successful Doppler wire-guided fistula occlusion by percutaneous coil embolization lead to normalization of coronary blood flow and relief of the patient's symptoms. Myocardial ischemia in this patient may have been due to a steal phenomenon caused by coronary artery fistulae, as suggested by blood flow velocity data obtained before and after fistula occlusion.
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