[Postoperative iatrogenic coronaro-ventricular fistula]

Area of Science:

• Cardiology
• Cardiac Surgery

Background:

• Acquired coronary cardiac fistulas are uncommon cardiovascular abnormalities.
• Most reported cases (30) are secondary to thoracic trauma, often involving right cardiac chambers.

Observation:

• A continuous cardiac murmur is a consistent clinical finding.
• Untreated fistulas can lead to coronary insufficiency and congestive heart failure.

Findings:

• This report details a rare case of a postoperative coronary cardiac fistula.
• The fistula originated secondary to left ventricular venting and directly involved the left ventricular cavity.

Implications:

• This case expands the known etiologies of coronary cardiac fistulas.
• Highlights the importance of considering iatrogenic causes and specific anatomical involvements in fistula management.