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  • Title: Transesophageal echocardiography on the presurgical and postsurgical evaluation of a coronary arteriovenous fistula.
    Author: Almeida J, Lobo A, Casanova J, Torres JP, Gomes MR.
    Journal: J Am Soc Echocardiogr; 1997 Apr; 10(3):224-7. PubMed ID: 9109687.
    Abstract:
    A 52-year-old man with a symptomatic condition-a huge left coronary artery fistula simulating a cor triatriatum sinister on transthoracic echocardiography-was referred to our center for surgery. Coronary angiography unequivocally established the diagnosis of a left coronary artery fistula and contrast opacification of the right atrium was observed. However, as a result of the size of the fistula, the entry site could not be defined with certainty. A transesophageal echocardiography (TEE) was then performed, and the opening site was clearly identified in the postero-lateral wall of the right atrium. After the surgical treatment transesophageal echocardiography was repeated, and it was confirmed that the surgical treatment had succeeded.
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