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1 Assistant Professor of Surgery, Yale University School of Medicine, New Haven, Conn.
Ten cases of fistulae between a coronary artery and either the right or left atrium have been studied. Pertinent material from a review of the literature supplements the clinical analysis. The major finding is the anatomic variability of the fistula site, with three primary patterns of communication evident for both right and left atrial termination. These anatomic findings become relevant to (a) the proper diagnostic interpretation of arteriograph, and (b) the proper selection of a surgical approach.
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