Acquired coronary fistula after left ventricular de-airing by apical needle aspiration.
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.
Unger
Philippe
P
Department of Cardiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. philippe.unger@erasme.ulb.ac.be
Moreels
Mickael
M
Stoupel
Eric
E
de Cannière
Didier
D
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*