Abstract
Serial clinical, hemodynamic and angiographic findings in the only patient known to have a traumatic coronary arteriovenous fistula are presented. At each of 3 cardiac catheterizations, performed over a 17 year period, a left to right shunt at atrial level and elevated right ventricular end-diastolic pressure were demonstrated. The pulmonary to systemic flow ratio has remained unchanged. A fistula between the right coronary artery and the right atrium was demonstrated angiographically both in 1957 and in 1969, and its configuration has not changed. The patient remains essentially asymptomatic 20 years after his injury.
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