A patient with a continuous murmur due to flow through an internal mammary-to-pulmonary artery fistula is described. Previously reported cases have been thought to be congenital in origin. A history of an anteriorly placed chest tube suggests an acquired etiology for this malfor mation.
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References
1.
Bjork, V.O., Intontl, F., Aletras, H., et al.: Varieties of pulmonary arteriovenous aneurysms. Acta Chir. Scand., 125: 69-76, 1963.
Kiphart, R.J. , Mackenzie, J.W., Templeton, A.W., et al.: Systemic pulmonary arteriovenous fistula of the chest wall and lung. A report of a case and review of the literature . J. Thorac. Cardiovasc. Surg., 54: 113-120, 1967.
4.
Stafford, R.W. , Kroneberg, M.W., Dunbar, J.D., et al.: Continuous precordial murmurs due to internal mammary artery fistulas, including internal mammary to pulmonary artery fistulas. Am. J. Cardiol., 24: 414-419, 1969.
5.
Shumaker, H.B. , Girod, D.A.: Fistulous communication between internal mammary and pulmonary arteries. Am. Surgeon, 39: 12-14, 1973.
6.
Pinet, F., Amiel, M., Chabot, L., et al.: Fistule mammaire interne dans la circulation pulmonaire. Radiol. Electrol. Med. Nucl., 55: 921-922, 1974.
7.
Cohen, E.M., Loew, D.E., Messer, J.V.: Internal mammary arteriovenous malformation with communication to the pulmonary vessels. Am. J. Cardiol., 35: 103-106, 1975.
