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Angiography Demonstrating Post-Endomyocardial Biopsy Fistula Between the Anterior Descending Artery and Right Ventricle

Gabriel Kanhouche, MD;  Mauricio Felippi de Sá Marchi, MD;  Gilberto Guilherme Ajjar Marchiori, MD;  Antônio Fernando D. Freire, MD; Alexandre A. Cunha Abizaid, MD, PhD

03/01/2022

Introduction

Video supplement to “Post-Endomyocardial Biopsy Fistula Between Anterior Descending Artery and Right Ventricle,” by Kanhouche et al. (March 2022 Clinical Images).

A 69-year-old male patient had a history of chronic heart failure due to Chaga’s disease and heart transplant in 2018. At his last out-of-hospital evaluation, he underwent a 2-year control myocardial perfusion imaging to search for graft vascular disease, which demonstrated minor stress-induced apical ischemia Coronary angiography displayed a fistula between the anterior descending artery and right ventricle with subsequent coronary occlusion.

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