title: Coronary artery to middle cardiac vein fistula following endomyocardial biopsy in a heart transplant patient.
abstract: Coronary artery fistulas draining directly into the right ventricle have been recognised as a complication of transvenous endomyocardial biopsy procedures performed in heart transplant recipients. We report a case where a fistula drained into the middle cardiac vein and outline the possible mechanism of occurrence and its prevention. The diagnostic and therapeutic aspects of these "acquired" fistulas are reviewed.
authors.affiliation: Department of Cardiology, Alfred Hospital, Prahran, Australia.
authors.forename: J K
authors.initials: JK
authors.lastname: Yeoh
authors.forename: S T
authors.initials: ST
authors.lastname: Anderson
authors.forename: J
authors.initials: J
authors.lastname: Federman
authors.forename: D
authors.initials: D
authors.lastname: Esmore
mesh_terms: D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000473:pathology; D001706:Biopsy; D009202:Cardiomyopathies / Q000473:pathology / Q000601:surgery*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000473:pathology; D004699:Endocardium / Q000473:pathology*; D016027:Heart Transplantation / Q000473:pathology*; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000473:pathology