Asymptomatic coronary artery to left ventricle fistulas secondary to myectomy trauma can be managed conservatively.
May support conservative management of asymptomatic post-myectomy fistulas; hypothesis-generating pending prospective data.
The literature on coronary cameral fistulas is reviewed and the etiology of the diagnostic findings discussed. In our patient, a coronary artery to left ventricle fistula was the most likely explanation secondary to trauma to the septal perforator artery during myectomy. Since the patient was asymptomatic at the time of diagnosis no intervention was recommended and has done well on follow-up.
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López‐Candales et al. (2005) studied this question.
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