title: Aortic septal defect and coronary-systemic micro-fistulae.
abstract: This report concerns a 32-year-old man, who at the age of 11, had an aortic septal defect with severe pulmonary hypertension. The defect was partially closed and the patient was left with a continuous murmur, an a-v shunt and marked diminution of pulmonary hypertension. Five years later he was asymptomatic, auscultation was normal and no shunt was found at cardiac catheterization. At 32 years of age, although asymptomatic he had abnormal "T" waves, and a selective coronary angiography demonstrated micro-fistulae involving the anterior descending coronary artery. It is suggested that these fistulae may be responsible for the abnormality of ventricular repolarization.
mesh_terms: D000293:Adolescent; D000328:Adult; D000790:Angiocardiography; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery; D002648:Child; D003330:Coronary Vessel Anomalies / Q000150:complications*; D005402:Fistula / Q000150:complications* / Q000601:surgery; D005500:Follow-Up Studies; D006343:Heart Septal Defects / Q000601:surgery; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery