Copyright © 1986 by the European Society of Cardiology.
© 1986 The European Society of Cardiology
Abnormal wall movements of the right ventricle and both atria in patients with pericardial effusion as indicators of cardiac tamponade
Department of Cardiology, Clinic for Internal Medicine, University Hospital St. Rafael-Gasthuisberg Herestraat 49, B-3000 Leuven, Belgium
Received 17 September 1985; revised 23 December 1985; .
Address for correspondence: H. De Geest, Department of Cardiology, University Hospital St. Rafael-Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium
Abstract
A consecutive series of 14 708 coronary arteriograms, performed between 1 April 1975 and 1 August 1983 was examined for the presence of coronary artery fistulas. The incidence was 0.13. There was 1 traumatic and 19 congenital cases. All fistulas were small and of little haemodynamic significance. No symptoms or complications could be ascribed to these fistulas. In the large majority no continuous or other murmurs suggested their presence. The large majority arose from the proximal anterior descending artery and emptied in the pulmonary artery. Surgical treatment for these fistulas is not indicated
Key Words: Coronary artery fistula • congenital coronary artery fistula
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