Iatrogenic Left Subclavian Artery-to-Left Brachiocephalic Vein Fistula: Successful Repair without a Sternotomy

AUTOR(ES)

Chloroyiannis, Yiannis

RESUMO

Subclavian vein catheterization can result in arteriovenous fistula formation—a rare complication that will eventually lead to heart failure if left untreated. The world medical literature describes several subclavian artery-to-subclavian vein fistulas and 2 subclavian artery-to-brachiocephalic vein fistulas, both on the right side. To our knowledge, there have been no reports of an iatrogenic left subclavian artery-to-left brachiocephalic vein fistula. We report a case in which this complication occurred after unsuccessful transvenous pacemaker placement. We treated the fistula with a simple surgical technique that avoided the need for a sternotomy. Although stenting is typically the procedure of choice for such fistulas, our technique is useful when stenting is not indicated.

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