Aortocoronary saphenous vein autograft accidentally attached to a coronary vein: follow up angiography and surgical correction of the resultant arteriovenous fistula Academic Article uri icon


MeSH Major

  • Arteriovenous Fistula
  • Coronary Artery Bypass
  • Coronary Vessels
  • Postoperative Complications
  • Saphenous Vein


  • The fate of aortocoronary saphenous vein bypass graft to the left anterior descending (LAD) coronary vein is reported. The vein graft communicated with the coronary sinus through the proximal LAD vein, producing a functional coronary arteriovenous fistula. The LAD vein was totally occluded distally at follow-up four months after operation. The natural history of congenital fistulas between coronary arteries and the coronary sinus suggested that bacterial endocarditis, pulmonary hypertension, and cardiac failure were all possible future complications in this patient. Operation was performed to revascularize the LAD artery to relieve persistent angina, and to close the fistula. Postoperative angiography showed a patent graft to the LAD artery with complete obliteration of the fistula. The patient is asymptomatic ten months after operation.

publication date

  • December 1976



  • Academic Article



  • eng

PubMed ID

  • 1084732

Additional Document Info

start page

  • 87

end page

  • 90


  • 22


  • 1