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Post-Endomyocardial Biopsy Fistula Between Left Anterior Descending Artery and Right Ventricle
Gabriel Kanhouche, Mauricio Felippi de Sá Marchi, Gilberto Guilherme Ajjar Marchiori
1Heart Institute of Sao Paulo (InCor), University of Sao Paulo - Brazil, Av. Dr. En as de Carvalho Aguiar, 44 05403-900, Sao Paulo, SP, Brazil. aabizaid@uol.com.br.
Abstract:
The image in this vignette helps to illustrate a rare, albeit reported, complication of endomyocardial biopsy. The case was discussed by the heart team. Fistula occlusion with microcoils was considered; however, the patient was asymptomatic and presented no reduction of left ventricular ejection fraction, and the documented ischemia was minor. Therefore, the patient received conservative treatment.
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