Coronary arteriovenous fistula with papillary muscle rupture.
We describe a patient who had a coronary arteriovenous fistula (CAVF) and whose mitral valve papillary muscle ruptured from chronic ischemia due to a coronary steal phenomenon. He was treated surgically with ligation of the CAVF (left circumflex to coronary sinus), coronary artery bypass grafting, and mitral valve replacement. This is the first report of papillary muscle rupture related to CAVF.
Ahmed
J
J
Department of Medicine, Maimonides Medical Center, Brooklyn, NY 11219, USA.
Edelstein
Y
Y
Rose
M
M
Lichstein
E
E
Connolly
M W
MW
D001164:Arteriovenous Fistula / Q000150:complications*; D003330:Coronary Vessel Anomalies / Q000150:complications*; D006341:Heart Rupture / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology*; D010210:Papillary Muscles