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Ann Thorac Surg ; 62(5): 1521-3, 1996 Nov.
Article in English | MEDLINE | ID: mdl-8893601

ABSTRACT

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.


Subject(s)
Arteriovenous Fistula/congenital , Cardiac Tamponade/etiology , Coronary Vessel Anomalies/complications , Pulmonary Artery/abnormalities , Aged , Aged, 80 and over , Arteriovenous Fistula/pathology , Arteriovenous Fistula/surgery , Coronary Vessel Anomalies/pathology , Coronary Vessel Anomalies/surgery , Emergencies , Female , Humans , Rupture, Spontaneous
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