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European Journal of Echocardiography Advance Access published online on May 10, 2007
European Journal of Echocardiography, doi:10.1016/j.euje.2007.03.028
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Acquired coronary fistula after left ventricular de-airing by apical needle aspiration

Philippe Unger1,2,*, Mickael Moreels1,2, Eric Stoupel1,2 and Didier de Cannière1,2

1 Department of Cardiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium
2 Department of Cardiac Surgery, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium

Received 24 January 2007; accepted after revision 16 March 2007.

* Corresponding author: Department of Cardiology, Erasme University Hospital, 808, route de Lennik, B-1070 Brussels, Belgium. Tel: + 32 25553907; fax: + 32 25554609. E-mail address: philippe.unger{at}erasme.ulb.ac.be


  Abstract

Acquired coronary fistula is uncommon, but has been reported to occur after several surgical procedures, acute myocardial infarction, endomyocardial biopsy, coronary angioplasty, and thoracic trauma. We describe the occurrence of a left coronary to left ventricular cavity fistula following resection of a left atrial myxoma, with spontaneous closure in the following weeks. The fistula was likely caused by a needle inserted into the left ventricular apex, a procedure routinely used to ensure left ventricular de-airing.

Keywords: Coronary fistula; Echocardiography; Myxoma


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