Demany, M.A.; Kay, E.B.; Zimmerman, H.A.
March 1966
Angiology;Mar1966, Vol. 17 Issue 3, p172
Academic Journal
A fistula between the left internal mammary artery and the left ventricle is a potential complication of a Vineberg operation. Such a case is described. Reappearance of anginal attacks, their precipitation by progressively smaller amounts of exertion, and an apical diastolic murmur not present before surgery were the clues to the diagnosis which was confirmed by cineangiography. Deterioration of the patient's condition is explained by the increased volume load imposed by the fistula on the left ventricle and the coronary circulation.


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