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Chest, Vol 69, 793-795, Copyright © 1976 by American College of Chest Physicians

ARTICLES

Penetrating injury of the chest and coronary arteriovenous fistula

DK Mukherjee, VS Banka, N Keosathit and RH Helfant

An unusual case of coronary artery fistula, due to a stab wound in the chest in a 17-year-old male patient, with a resultant acute inferior myocardial infarction is presented. At surgery, complete transection of the right coronary artery was found, which formed a fistulous communication with both the right atrium and the right ventricle. The development of a continuous murmur in the period immediately after the injury, the absence of hemopericardium, and multiple cardiac-chamber involvements were unique features of the case. The inferior myocardial wall was akinetic due to infarction and did not improve following revascularization surgery. A brief review of the literature is also presented.




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Copyright © 1976 by the American College of Chest Physicians.