Natural history of a ventriculoatrial fistula after a gunshot injury in 1945.

Selinger, L; Werner, K; Silber, R; Nellessen, U; Inselmann, G · Ann Thorac Surg · 1998

case_report · Level V

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Abstract

We describe an exceptional case of a patient who suffered a penetrating heart injury from a gunshot wound in 1945 leading to a left ventricular-right atrial fistula. Despite the resulting left-to-right shunt the patient remained relatively asymptomatic for 50 years before the onset of congestive heart failure necessitated an operation.

Medical subject headings