title: Acquired coronary fistula after left ventricular de-airing by apical needle aspiration.
abstract: Acquired coronary fistula is uncommon, but has been reported to occur after several surgical procedures, acute myocardial infarction, endomyocardial biopsy, coronary angioplasty, and thoracic trauma. We describe the occurrence of a left coronary to left ventricular cavity fistula following resection of a left atrial myxoma, with spontaneous closure in the following weeks. The fistula was likely caused by a needle inserted into the left ventricular apex, a procedure routinely used to ensure left ventricular de-airing.
authors.affiliation: Department of Cardiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. philippe.unger@erasme.ulb.ac.be
authors.forename: Philippe
authors.initials: P
authors.lastname: Unger
authors.forename: Mickael
authors.initials: M
authors.lastname: Moreels
authors.forename: Eric
authors.initials: E
authors.lastname: Stoupel
authors.forename: Didier
authors.initials: D
authors.lastname: de Cannière
mesh_terms: D003331:Coronary Vessels; D006325:Heart Atria; D006338:Heart Neoplasms / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000601:surgery*; D016602:Needlestick Injuries / Q000150:complications*; D016157:Vascular Fistula / Q000209:etiology*