Unusual cause of an arteriovenous coronary fistula
Koller, H.; Prager, H.; Sterz, H.; Haiderer, O.
Zeitschrift für Kardiologie 69(5): 360-363
1980
ISSN/ISBN: 0300-5860 PMID: 7456604 Document Number: 156670
Shortly after a febrile "flu" a systolo-diastolic murmur was heard in a 25-year-old female. Clinically a ruptured sinus-Valsalva aneurysm was assumed. Coronary angiography revealed a fistula between the right coronary artery and the right atrium. A density on X-ray along a rib led to a biopsy and the specimen showed an angiosarcoma. Very fast growing and spreading into the lungs, liver and many bones caused death 6 months after onset. Autopsy showed many metastases from an angiosarcoma and a fistula between the right coronary artery and the right atrium due to sarcomatous masses.