Coronary artery to middle cardiac vein fistula following endomyocardial biopsy in a heart transplant patient.
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.
Yeoh
J K
JK
Department of Cardiology, Alfred Hospital, Prahran, Australia.
Anderson
S T
ST
Federman
J
J
Esmore
D
D
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