CORONARY ARTERIOVENOUS FISTULA INTO MAIN PULMONARY ARTERY
- 26 March 1960
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 172 (13) , 1384-1386
- https://doi.org/10.1001/jama.1960.63020130001011
Abstract
Abnormal communications between the coronary arteries and the coronary veins, right atrium, right ventricle, or pulmonary arteries are usually referred to as coronary arteriovenous fistulas. Steinberg and associates,1in an excellent review of this subject, found 22 reported cases and added one case diagnosed by forward angiography.1AIt is the purpose of this article to present an unusual case which was accurately diagnosed by selective aortography and successfully treated by surgical excision. Report of a Case A 53-year-old woman was admitted to the University Heart Hospital on Feb. 22, 1959, complaining of shortness of breath. She had always been in good health until October, 1958, when she noticed the onset of exertional dyspnea and increasing fatigue. In December, 1958, she was hospitalized for acute heart failure and given treatment with digitalis, diuretics, and sedatives. In 1953, when she had a hysterectomy, results of an examination of her heartKeywords
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