Operative repair of iatrogenic innominate artery to left innominate vein arteriovenous fistula after pacemaker laser lead extraction Peter C. Chen, MD,

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Presentation transcript:

Operative repair of iatrogenic innominate artery to left innominate vein arteriovenous fistula after pacemaker laser lead extraction Peter C. Chen, MD, Scott Greenberg, MD, Nilesh Mathuria, MD, James J. Livesay, MD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 4, Pages e85-e87 (October 2016) DOI: 10.1016/j.jtcvs.2016.05.062 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Angiography demonstrating saccular outpouching of ascending aorta or proximal innominate artery (red arrow). B, Echocardiography image demonstrating abnormal communication between the distal ascending aorta and left innominate vein. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e85-e87DOI: (10.1016/j.jtcvs.2016.05.062) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Intraoperative photograph showing 1-cm innominate artery fistula opening. B, Intraoperative photograph showing venotomy on the anterior surface of the left innominate vein exposing a 1-cm posterior fistula opening. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e85-e87DOI: (10.1016/j.jtcvs.2016.05.062) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Iatrogenic fistula between the innominate artery and left innominate vein. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e85-e87DOI: (10.1016/j.jtcvs.2016.05.062) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions