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Ann Thorac Surg 1998;65:1137-1138
© 1998 The Society of Thoracic Surgeons

Case Reports

Natural History of a Ventriculoatrial Fistula After a Gunshot Injury in 1945

Laszlo Selinger, MDa, Klaus Werner, MDa, Rolf Silber, MDb, Ullrich Nellessen, MDa, Gerhard Inselmann, MDa

a Medizinische Poliklinik, University of Würzburg, Würzburg, Germany
b Klinik für Herz- und Thoraxchirurgie, University of Würzburg, Würzburg, Germany

Accepted for publication October 28, 1997.

Address reprint requests to Dr Inselmann, Medizinische Poliklinik, Klinikstrasse 6-8, 97070 Würzburg, Germany

We describe an exceptional case of a patient who suffered a penetrating heart injury from a gunshot wound in 1945 leading to a left ventricular–right atrial fistula. Despite the resulting left-to-right shunt the patient remained relatively asymptomatic for 50 years before the onset of congestive heart failure necessitated an operation.






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