Congenital coronary arteriovenous fistula: Spontaneous rupture and cardiac tamponade

Congenital coronary arteriovenous fistula is an unusual, but not rare, coronary anomaly. Management of asymptomatic fistulas is controversial because of great variability in natural history. We describe an 82-year-old female patient with spontaneous rupture of a previously undetected left main coron...

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Veröffentlicht in:	The Annals of thoracic surgery 1996-11, Vol.62 (5), p.1521-1523
Hauptverfasser:	Bauer, Hans H., Allmendinger, Philip D., Flaherty, James, Owlia, Dariush, Rossi, Michael A., Chen, Chunguang
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Arteriovenous Fistula - congenital Arteriovenous Fistula - pathology Arteriovenous Fistula - surgery Biological and medical sciences Cardiac Tamponade - etiology Cardiology. Vascular system Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Coronary Vessel Anomalies - complications Coronary Vessel Anomalies - pathology Coronary Vessel Anomalies - surgery Emergencies Female Heart Humans Medical sciences Pulmonary Artery - abnormalities Rupture, Spontaneous
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Zusammenfassung:	Congenital coronary arteriovenous fistula is an unusual, but not rare, coronary anomaly. Management of asymptomatic fistulas is controversial because of great variability in natural history. We describe an 82-year-old female patient with spontaneous rupture of a previously undetected left main coronary artery-to-pulmonary artery coronary arteriovenous fistula, with resulting hemopericardium and cardiac tamponade. Emergent surgical exploration and repair provided successful treatment.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/0003-4975(96)00757-6