Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade.
Congenital coronary arteriovenous fistula is an unusual, but not rare, coronary anomaly. Management of asymptomatic fistulas is controversial because of great variability in natural history. We describe an 82-year-old female patient with spontaneous rupture of a previously undetected left main coronary artery-to-pulmonary artery coronary arteriovenous fistula, with resulting hemopericardium and cardiac tamponade. Emergent surgical exploration and repair provided successful treatment.
Published In/Presented At
Bauer, H. H., Allmendinger, P. D., Flaherty, J., Owlia, D., Rossi, M. A., & Chen, C. (1996). Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade. The Annals of thoracic surgery, 62(5), 1521–1523. https://doi.org/10.1016/0003-4975(96)00757-6
Medicine and Health Sciences
Department of Medicine