Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade.
Congenital coronary arteriovenous fistula is an unusual, but not rare, coronary anomaly. Management of asymptomatic fistulas is controversial because of great variability in natural history. We describe an 82-year-old female patient with spontaneous rupture of a previously undetected left main coronary artery-to-pulmonary artery coronary arteriovenous fistula, with resulting hemopericardium and cardiac tamponade. Emergent surgical exploration and repair provided successful treatment.
Division of Cardiology, Hartford Hospital, University of Connecticut School of Medicine, USA.
H H
HH
Bauer
P D
PD
Allmendinger
J
J
Flaherty
D
D
Owlia
M A
MA
Rossi
C
C
Chen
D000368:Aged; D000369:Aged, 80 and over; D001164:Arteriovenous Fistula / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D002305:Cardiac Tamponade / Q000209:etiology*; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000473:pathology / Q000601:surgery; D004630:Emergencies; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000002:abnormalities*; D012422:Rupture, Spontaneous