Coronary artery-right ventricular fistula in a heart transplant patient.

Abstract

Routine coronary angiography 2 years after heart transplantation in a 48-year-old patient revealed a fistula from a septal branch of the left anterior descending artery to the right ventricle. This finding was not present at coronary angiography 1 year before. This coronary-ventricular fistula is most probably the result of repeated endomyocardial biopsies.