[Unusual cause of an arteriovenous coronary fistula (author's transl)].
Shortly after a febrile "flu" a systolo-diastolic murmur was heard in a 25-year-old female. Clinically a ruptured sinus-Valsalva aneurysm was assumed. Coronary angiography revealed a fistula between the right coronary artery and the right atrium. A density on X-ray along a rib led to a biopsy and the specimen showed an angiosarcoma. Very fast growing and spreading into the lungs, liver and many bones caused death 6 months after onset. Autopsy showed many metastases from an angiosarcoma and a fistula between the right coronary artery and the right atrium due to sarcomatous masses.
D000328:Adult; D001164:Arteriovenous Fistula / Q000209:etiology*; D003327:Coronary Disease / Q000209:etiology*; D005260:Female; D006801:Humans
Ungewöhnliche Ursache einer arteriovenösen Koronarfistel.