Traumatic left anterior descending to pulmonary trunk fistula
- 1Department of Cardiothoracics, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK
- 2University of New South Wales, Kensington, New South Wales, Australia
- 3Department of Radiology, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK
- Correspondence to Dr Saissan Rajendran, saissanrajendran{at}hotmail.com
Description
A young man in his late 20s, presented with new-onset exertional angina. Five months earlier, the patient had presented to the trauma unit with a penetrating injury to the left chest and cardiac arrest due to cardiac tamponade. The patient had undergone emergency median sternotomy for repair of a 15 mm laceration to the right ventricular outflow tract. On examination, he had normal vital signs with no abnormal heart sounds or signs of heart failure. ECG was normal. Cardiac catheterisation demonstrated a communication between the proximal …
