Angiographic demonstration of an acquired internal mammary-to-pulmonary artery fistula.
A patient with a continuous murmur due to flow through an internal mammary-to-pulmonary artery fistula is described. Previously reported cases have been thought to be congenital in origin. A history of an anteriorly placed chest tube suggests an acquired etiology for this malformation.
D000328:Adult; D006328:Cardiac Catheterization; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D006337:Heart Murmurs; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*; D011859:Radiography; D013895:Thoracic Arteries / Q000000981:diagnostic imaging*