title: Sinoatrial nodal artery to right atrium fistula after myxoma excision.
abstract: Acquired coronary artery to cardiac chamber fistulas are rare. Angiographically detectable neovascularization associated with a cardiac myxoma occurs frequently. These vessels are incorporated into the atrial suture line during surgical excision. We describe the case of a patient with a symptomatic right coronary artery to right atrial fistula that had occurred 4 years after left atrial myxoma resection. These large vessels should be considered for ligation during the myxoma resection.
authors.affiliation: Department of Cardiology, Brooke Army Medical Center, Fort Sam Houston 78234, USA. jason.roth@amedd.army.mil
authors.forename: Jason E
authors.initials: JE
authors.lastname: Roth
authors.forename: William C
authors.initials: WC
authors.lastname: Conner
authors.forename: Mary E
authors.initials: ME
authors.lastname: Porisch
authors.forename: Eric
authors.initials: E
authors.lastname: Shry
mesh_terms: D009202:Cardiomyopathies / Q000209:etiology* / Q000628:therapy; D003331:Coronary Vessels; D004621:Embolization, Therapeutic; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000628:therapy; D006325:Heart Atria / Q000473:pathology*; D006338:Heart Neoplasms / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008875:Middle Aged; D009232:Myxoma / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D012849:Sinoatrial Node; D013536:Suture Techniques