Cardiac stab wound resulting in a left anterior descending artery to left ventricular fistula with delayed pericardial tamponade.
We describe the third known case of a traumatic left anterior descending artery to left ventricular fistula. Emergency operative repair was required on day 7 for delayed pericardial tamponade. The significant incidence of late serious sequelae with traumatic coronary artery fistulas suggests that early surgery is warranted.
Rossum
A
A
Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque.
Osborn
L
L
Wernly
J
J
Timm
C
C
Abrams
J
J
D000328:Adult; D001807:Blood Vessel Prosthesis; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging* / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D005402:Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D006335:Heart Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D006352:Heart Ventricles / Q000293:injuries* / Q000601:surgery; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D014951:Wounds, Stab / Q000000981:diagnostic imaging* / Q000601:surgery