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  • Title: Bilateral internal mammary-to-pulmonary artery fistulas after a coronary operation.
    Author: Groh WJ, Hovaguimian H, Morton MJ.
    Journal: Ann Thorac Surg; 1994 Jun; 57(6):1642-3. PubMed ID: 8010815.
    Abstract:
    A case of bilateral internal mammary artery-to-pulmonary artery fistulas presenting as recurrent angina late after revascularization is described. Objective evidence of ischemia was documented using stress electrocardiography and thallium-201 scintigraphy. The patient was managed conservatively to date with medical therapy. Fistula formation may complicate internal mammary artery bypass grafting and should be considered as a potential cause of recurrent angina.
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