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  • Title: Arteriovenous fistulas after median sternotomy--report of 2 cases and review of the literature.
    Author: Thiel R, Bircks W.
    Journal: Thorac Cardiovasc Surg; 1990 Jun; 38(3):195-7. PubMed ID: 2197765.
    Abstract:
    We report 2 cases of arteriovenous fistulas as a very rare complication following median sternotomy. In the first case a fistula was observed between the right internal mammary artery and vein caused by a sternal wire. The second patient developed a fistula between the innominate artery and left innominate vein after suture repair of a slight hemorrhage from the innominate vein. The latter localization has not been previously described. In both cases the fistulas were discovered by a continuous murmur appearing 12 and 11 days postoperatively. The therapy consisted of resternotomy and resection of the fistulas. The literature is reviewed and etiology, diagnosis and therapy are discussed.
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