Cardiocutaneous fistula in a delayed iathrogenic ventricular perforation of the heart: computed tomographic and magnetic resonance imaging findings.
Cardiac iathrogenic lesions can occur during diagnostic or therapeutic procedures. Resistance of the heart to an injury may cause a delay from the traumatic event to onset of the symptomatology or to heart rupture. We describe a rare case cardiac perforation with delayed rupture of the heart in a patient previously submitted to radiation therapy for breast cancer. Cardiocutaneous fistula at the cross-sectional computed tomographic and magnetic resonance imaging findings has not been previously reported, to our knowledge.
Department of Radiology, University of Sassari, Sassari, Italy.
Francesco
F
Meloni
Stefano
S
Profili
Roberto
R
Grassi
Salvatore
S
Cappabianca
Francesco
F
Maisto
Stefania
S
Romano
D001943:Breast Neoplasms / Q000532:radiotherapy; D044584:Carcinoma, Ductal / Q000532:radiotherapy / Q000556:secondary; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000209:etiology; D017577:Cutaneous Fistula / Q000175:diagnosis* / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006335:Heart Injuries / Q000175:diagnosis*; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011832:Radiation Injuries / Q000150:complications / Q000175:diagnosis*; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000175:diagnosis*