Generalised left ventricular dysfunction after traumatic right coronary artery - right atrial fistula

  • BS Lewis
  • EU Kurklu
  • A Bakst
  • BJ Henderson
  • NMA Rogers
  • MS Gotsman

Abstract

A patient with traumatic right coronary artery to right atrial fistula, which was repaired by direct closure and aortocoronary saphenous vein bypass grafting, is described. Cardiac catheterisation and selective cine angiocardiography were performed pre- and postoperatively, and left ventricular (LV) function was studied in detail by invasive and non-invasive techniques. There was regional (diaphragmatic) LV asynergy but also generalised impairment of myocardial function, and these abnormalities persisted after operation.

S. Afr. Med. J., 48, 1829 (1974).

Author Biographies

BS Lewis
Cardiothoracic Unit, Wentworth Hospital and University of Natal, Durban
EU Kurklu
Cardiothoracic Unit, Wentworth Hospital and University of Natal, Durban
A Bakst
Cardiothoracic Unit, Wentworth Hospital and University of Natal, Durban
BJ Henderson
Cardiothoracic Unit, Wentworth Hospital and University of Natal, Durban
NMA Rogers
Cardiothoracic Unit, Wentworth Hospital and University of Natal, Durban
MS Gotsman
Cardiothoracic Unit, Wentworth Hospital and University of Natal, Durban
Published
2018-04-12
Section
Articles

Journal Identifiers


eISSN: 0256-95749
print ISSN: 2078-5135