Congenital coronary arteriovenous fistula: spontaneous rupture and cardiac tamponade

Ann Thorac Surg. 1996 Nov;62(5):1521-3. doi: 10.1016/0003-4975(96)00757-6.


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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arteriovenous Fistula / congenital*
  • Arteriovenous Fistula / pathology
  • Arteriovenous Fistula / surgery
  • Cardiac Tamponade / etiology*
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / pathology
  • Coronary Vessel Anomalies / surgery
  • Emergencies
  • Female
  • Humans
  • Pulmonary Artery / abnormalities*
  • Rupture, Spontaneous