Penetrating injury of the chest and coronary arteriovenous fistula.
An unusual case of coronary artery fistula, due to a stab wound in the chest in a 17-year-old male patient, with a resultant acute inferior myocardial infarction is presented. At surgery, complete transection of the right coronary artery was found, which formed a fistulous communication with both the right atrium and the right ventricle. The development of a continuous murmur in the period immediately after the injury, the absence of hemopericardium, and multiple cardiac-chamber involvements were unique features of the case. The inferior myocardial wall was akinetic due to infarction and did not improve following revascularization surgery. A brief review of the literature is also presented.
D000293:Adolescent; D001164:Arteriovenous Fistula / Q000209:etiology*; D003331:Coronary Vessels / Q000293:injuries; D005402:Fistula / Q000209:etiology; D006325:Heart Atria; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization; D013898:Thoracic Injuries / Q000150:complications*; D014950:Wounds, Penetrating / Q000150:complications*; D014951:Wounds, Stab / Q000150:complications