Acquired postoperative coronary arteriovenous fistula.
A patient is described who underwent closed mitral valvotomy and presented 21 years later with left ventricular failure. Coronary angiography revealed a coronary artery to pulmonary vein arteriovenous fistula. This is the first report of an acquired fistula of this type developing secondary to trauma associated with cardiac surgery. Diagnosis and treatment implications are discussed.
Pattee
P L
PL
Department of Medicine, Ottawa General Hospital, Ontario, Canada.
Chambers
R J
RJ
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011667:Pulmonary Veins / Q000000981:diagnostic imaging* / Q000601:surgery; D012086:Reoperation