A 62-year-old man who died suddenly was found at autopsy to have multiple coronary arteriosystemic fistulae involving all three major coronary arteries and both ventricles. This is the second such case reported and the first with biventricular involvement and autopsy findings. A congenital bicuspid valve was also present. Numerous small blood vessels opened onto the endocardial surface of both ...

A 56-year-old man with no known cardiac risk factors presented with dyspnea upon exertion. The vital signs were normal. Echocardiography showed normal left ventricular (LV) ejection fraction and no valvular disease, but moderate LV hypertrophy and LV diastolic dysfunction were noted. Rest and stress myocardial perfusion scintigraphy showed a reversible inferior-wall perfusion defect; therefore,...

Gastrointestinal fistulae most frequently occur as complications after abdominal surgery (75-85%) although they can also occur spontaneously--for example, in patients with inflammatory bowel disease (IBD) such as diverticulitis or following radiation therapy. Abdominal trauma can also lead to fistula formation although this is rare. Postoperative gastrointestinal fistulae can occur after any ab...

Objective: To report the surgical results obtained with the surgical correction of fistulae of coronary arteries in the pulmonary artery branch. Method: From 1995 to 1999, three female patients with diagnoses of isolated fistulae of coronary arteries confirmed by cinecoronariography underwent surgery. Results: No other associated heart diseases were observed in the patients. The main symptom of...

This study aimed to investigate the treatment efficiency of interventional embolization therapy in puerile congenital deep femoral arteriovenous fistula. A retrospective analysis was conducted for 9 cases of congenital deep femoral arteriovenous fistulae treated in our department in the past 5 years. B-ultrasound examination indicated that all puerile patients suffered from deep femoral arterio...

OBJECTIVE To observe beneficial effects of somatostatin analogues in terms of time taken by the enterocutaneous fistula to close, total hospital stay, cost of treatment and mortality. DESIGN A comparative study. PLACE AND DURATION OF STUDY The study was carried out from 01-10-1999 to 30-09-2002 in Surgical Units of Bahawal Victoria Hospital, Bahawalpur. PATIENTS AND METHODS In this study ...

• Spinal epidural arteriovenous fistulas (SEDAVFs) are extremely rare. the pathological process of SEDAVFs still remains unclear. Chronic vertebral compression fractures (VCFs) might have caused in our cases. Obliterate fistulae via trans-arterial route with Onyx embolization is most appropriate treatment option. rare and Nevertheless, neurofibromatosis, surgery, as well trauma been implicated ...

The gall bladder lies on the under surface of the liver, and is held in position by areolar tissue and the peritoneum covering the under surface of the liver. It lies obliquely, its long axis being directed backwards and upwards and slightly medially from the lower anterior edge of the liver, to the right end of the porta hepatis. The fundus of the gall bladder is in close relation to the anter...

The discovery of a continuous murmur at an unusual site over the praecordium presents an interesting diagnostic problem. Abnormalities of the coronary circulation are among the possible causes for such a finding, but they are rare. In this report we describe three patients with coronary arterio-venous fistulae and draw attention to the ease and elegance of the diagnosis of this condition by ret...