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Traumatic fistula between the left anterior descending coronary artery and a left ventricular pseudoaneurysm

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Abstract

A 44-year-old man presented with a fistula of the left anterior descending (LAD) coronary artery to a left ventricular pseudoaneurysm 6 months after a stab injury in the left anterior chest. The color Doppler echocardiography suggested, and angiography confirmed, the diagnosis and the lesion was treated successfully. Traumatic coronary artery fistulas are rare complications, and color Doppler echocardiography proved useful for the diagnosis.

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References

  1. Lowe JE, Adams DH, Cummings RG, Wesly RL, Phillips HR (1983) The natural history and recommended management of patients with traumatic coronary artery fistulas. Ann Thorac Surg 36:295–305

    Article  PubMed  CAS  Google Scholar 

  2. Haas GE, Parr GVS, Trout RG, Hargrove WC III (1986) Traumatic coronary artery fistula. J Trauma 26:854–857

    PubMed  CAS  Google Scholar 

  3. Renzulli A, Wren C, Hilton CJ (1989) Coronary artery-ventricular fistula and multiple ventricular septal defects due to blunt chest trauma. Thorax 44:1055–1056

    PubMed  CAS  Google Scholar 

  4. Juca ER, Carvalho W Jr (1989) Right coronary artery-right atrium fistula resulting from a penetrating injury of the heart. J Thorac Cardiovasc Surg 98:638

    PubMed  CAS  Google Scholar 

  5. Pellegrini RV, Layton TR, Dimarco RF, Grant KJ, Marrangoni AG (1980) Multiple cardiac lesions from blunt trauma. J Trauma 20:169–173

    Article  PubMed  CAS  Google Scholar 

  6. Sareli P, Goldman AP, Pocock WA, Colsen P, Casari A, Barlow JB (1984) Coronary artery-right ventricular fistula and organic tricuspid regurgitation due to blunt chest trauma. Am J Cardiol 54:697–699

    Article  PubMed  CAS  Google Scholar 

  7. Martin R, Mitchell A, Dhalla N (1986) Late pericardial tamponade and coronary arteriovenous fistula after trauma. Br Heart J 55:216–218

    PubMed  CAS  Google Scholar 

  8. Cheng TO, Adkins PC (1972) Traumatic aneurysm of left anterior descending coronary artery with fistulous opening into left ventricle and left ventricular aneurysm after stab wound of chest. Am J Cardiol 31:384–390

    Article  Google Scholar 

  9. Heller RF, Rahimtoola SH, Ehsani A, Johnson S, Boyd DR, Tatooles CJ, Loeb HS, Rosen KR (1974) Cardiac complications: Results of penetrating chest wounds involving the heart. Arch Intern Med 134:491–496

    Article  PubMed  CAS  Google Scholar 

  10. Silver GM, Spampinato N, Favaloro RG, Groves LK (1973) Ventricular aneurysm and blunt chest trauma. Chest 63:628–631

    PubMed  CAS  Google Scholar 

  11. Grieco JG, Montoya A, Sullivan HJ, Bakhos M, Foy BK, Blakeman B, Pifarré R (1989) Ventricular aneurysm due to blunt chest injury. Ann Thorac Surg 47:322–329

    Article  PubMed  CAS  Google Scholar 

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Tsushima, Y., Haapanen, A., Dean, P.B. et al. Traumatic fistula between the left anterior descending coronary artery and a left ventricular pseudoaneurysm. Cardiovasc Intervent Radiol 19, 272–274 (1996). https://doi.org/10.1007/BF02577648

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