Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade.

Bauer, H H; Allmendinger, P D; Flaherty, J; Owlia, D; Rossi, M A; Chen, C · Ann Thorac Surg · 1996

case_report · Level V

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Abstract

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.

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