Traumatic left anterior descending artery-to-pulmonary artery fistula with delayed pericardial tamponade
Reubendra Jeganathan1, Gareth Irwin, Paul W Johnston
1Division of Cardiac, Vascular and Thoracic Surgery, Royal Victoria Hospital, Belfast, United Kingdom.
Abstract:
Traumatic coronary artery fistulas are rare, but 80% are secondary to penetrating injuries. Although the left coronary artery is involved in 46% of cases, these are usually associated with fistulas to the right ventricle. We describe a successful repair of a traumatic fistula from the proximal left anterior descending artery to the pulmonary artery after delayed presentation.
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