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Ann Thorac Surg 1996;62:1521-1523
© 1996 The Society of Thoracic Surgeons

Case Report

Congenital Coronary Arteriovenous Fistula: Spontaneous Rupture and Cardiac Tamponade

Hans H. Bauer, MD, Philip D. Allmendinger, MD, James Flaherty, MD, Dariush Owlia, MD, Michael A. Rossi, MD, Chunguang Chen, MD

Divisions of Cardiology and Cardiothoracic Surgery, Hartford Hospital, University of Connecticut School of Medicine, Hartford, Connecticut

Accepted for publication June 11, 1996.

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.




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