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Title: Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade. Author: Bauer HH, Allmendinger PD, Flaherty J, Owlia D, Rossi MA, Chen C. Journal: Ann Thorac Surg; 1996 Nov; 62(5):1521-3. PubMed ID: 8893601. Abstract: Congenital coronary arteriovenous fistula is an unusual, but not rare, coronary anomaly. Management of asymptomatic fistulas is controversial because of great variability in natural history. We describe an 82-year-old female patient with spontaneous rupture of a previously undetected left main coronary artery-to-pulmonary artery coronary arteriovenous fistula, with resulting hemopericardium and cardiac tamponade. Emergent surgical exploration and repair provided successful treatment.[Abstract] [Full Text] [Related] [New Search]