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Reubendra Jeganathan
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Ann Thorac Surg 2007;84:276-278
© 2007 The Society of Thoracic Surgeons

Case Reports

Traumatic Left Anterior Descending Artery–to–Pulmonary Artery Fistula With Delayed Pericardial Tamponade

Reubendra Jeganathan, MRCSI, Gareth Irwin, MB, BCh, Paul W. Johnston, MRCP, J. Mark Jones, MD, FRCSEd CTh*

Division of Cardiac, Vascular and Thoracic Surgery, Royal Victoria Hospital, Belfast, United Kingdom

Accepted for publication December 13, 2006.

* Address correspondence to Dr Jones, Cardiothoracic Surgery, Ground Floor West Wing, Royal Victoria Hospital, Grosvenor Rd, Belfast, BT12 6BA, UK (Email: mark.jones{at}royalhospitals.n-i.nhs.uk).

Traumatic coronary artery fistulas are rare, but 80% are secondary to penetrating injuries. Although the left coronary artery is involved in 46% of cases, these are usually associated with fistulas to the right ventricle. We describe a successful repair of a traumatic fistula from the proximal left anterior descending artery to the pulmonary artery after delayed presentation.






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