Iatrogenic mammary arteriovenous fistula caused by sternal wire

Internal mammary arteriovenous fistulas are a rare complication of sternotomy. We present a case of a 64-year-old woman with a poststernotomy fistula between the left mammary vein and artery with formation of a pseudoaneurysm with subcutaneous extension. We describe the different imaging techniques that led to the diagnosis and the resolution of the fistula via endovascular embolization.