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Correspondence
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Volume 347:950-951 September 19, 2002 Number 12
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Coronary-Artery Fistula

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 by Brussee, H.
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To the Editor: In their Image in Clinical Medicine (March 21 issue),1 Brussee and Gasser err both in their diagnosis of the lesion illustrated and in their advice for patient care. The coronary-artery fistula illustrated does not connect the left main coronary artery to the right atrium but, rather, as indicated by the large obtuse marginal branch, connects the circumflex coronary artery to the right atrium.

Brussee and Gasser also err in failing to recommend appropriate treatment for this potentially serious lesion. Treatment of such coronary-artery fistulas by percutaneous methods is now widely available. Occlusion with the use of detachable . . . [Full Text of this Article]


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