• Tex Heart Inst J · Jan 2012

    Case Reports

    Fistula from right internal mammary artery to superior vena cava after use of a laser sheath to extract a pacemaker lead.

    • Federico E Azpurua, Kathryn G Dougherty, Ali Massumi, and Neil E Strickman.
    • Department of Adult Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
    • Tex Heart Inst J. 2012 Jan 1; 39 (5): 727-30.

    AbstractA 55-year-old woman presented with dyspnea on exertion due to a right internal mammary artery-to-superior vena cava arteriovenous fistula that occurred after pacemaker lead extraction with a laser sheath. The fistula was successfully repaired by placing a covered stent in the right internal mammary artery. In this unusual location, endovascular stenting is a reasonable alternative to coil embolization or surgical repair of an arteriovenous fistula resulting from laser lead extraction.

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