title: Coronary artery fistula coexisting with a ventricular septal defect due to a penetrating gunshot wound.
abstract: We describe a patient who survived a penetrating gunshot wound to the chest. Cardiac evaluation including echocardiography and cardiac catheterization revealed a coronary artery fistula and a ventricular septal defect. This combination has been rarely reported in patients with penetrating cardiac injury. Follow-up echocardiography performed 15 mo later showed persistent left-to-right shunt. This is the first case in the literature demonstrating the natural history of combined coronary artery fistula and ventricular septal defect without surgical correction.
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D004452:Echocardiography; D005402:Fistula / Q000175:diagnosis*; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000175:diagnosis*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis*; D006346:Heart Septum / Q000293:injuries*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D016312:Treatment Refusal; D014948:Wounds, Gunshot / Q000175:diagnosis*