Late pericardial tamponade and coronary arteriovenous fistula after trauma.
A 48 year old man presented with cardiac tamponade six weeks after an apparently minor penetrating chest injury. Thoracotomy showed a haemopericardium with no actively bleeding vessel. Re-investigation eleven months later, prompted by persistent chest pain, showed the presence of a fistula between the second diagonal of the left anterior descending coronary artery and a cardiac vein.
D001164:Arteriovenous Fistula / Q000209:etiology*; D002305:Cardiac Tamponade / Q000209:etiology*; D017023:Coronary Angiography; D003331:Coronary Vessels; D006801:Humans; D008297:Male; D008875:Middle Aged; D013898:Thoracic Injuries / Q000150:complications*; D014950:Wounds, Penetrating / Q000150:complications*