Congenital arteriovenous fistulas of the bilateral internal mammary vessels.
Internal mammary artery-to-venous fistulas represent a rare cause of a continuous precordial murmur that may be confused clinically with a patent ductus arteriosus. The acquired variety may be secondary to inflammatory, neoplasic, or traumatic events. A congenital fistula may occur as an isolated event, as in the present case, and the question of advisability of endovascular treatment for this patient remains unanswered.
Gilard
M
M
Department of Cardiology, University Hospital, Brest, France.
Mounayer
C
C
Touiza
A
A
Mansourati
J
J
Jobic
Y
Y
Blanc
J J
JJ
Boschat
J
J
D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008323:Mammary Arteries / Q000000981:diagnostic imaging; D011859:Radiography; D013909:Thorax / Q000098:blood supply; D014680:Veins